License holder summary

KENNETH WEAVER is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH WEAVER is Suite 6, 311 Princeton Road Johnson City TN 37601. This licensed professional license is not current. The license was granted 07/11/1986 and expired on 06/30/1988.

Idaho

Division of Occupational and Professional Licenses

KENNETH WEAVER
Board Of Medicine
License number
M-5106
Date granted
07/11/1986
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
Suite 6, 311 Princeton Road Johnson City TN 37601
idaholicensing.com
ID 48339269
LAST UPDATED 2024-03-10 03:50:39 UTC

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