Idaho
Division of Occupational and Professional Licenses
KENT BRADLEY WHITAKER
Board Of Medicine
License number
PA-234
Date granted
08/03/1998
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
6371 S. Pheasant Dr. LAVA HOT SPRINGS ID 83246
idaholicensing.com
ID 48335436
LAST UPDATED 2026-03-20 23:18:34 UTC
LAST UPDATED 2026-03-20 23:18:34 UTC
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