Idaho
Division of Occupational and Professional Licenses
KENNETH ROBERT MILLER
Board Of Medicine
License number
LRT-1921
Date granted
01/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2242 CHUKAR LN CLARKSTON WA 99403
idaholicensing.com
ID 48358701
LAST UPDATED 2024-03-19 15:41:48 UTC
LAST UPDATED 2024-03-19 15:41:48 UTC
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