License holder summary

KENT LYLE SHIPPEN is a Board Of Medicine licensed to practice in Idaho. The address on file for KENT LYLE SHIPPEN is 113 TRAIL CREEK DR VICTOR ID 83455. This licensed professional license is not current. The license was granted 08/10/2006 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

KENT LYLE SHIPPEN
Board Of Medicine
License number
PA-617
Date granted
08/10/2006
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
113 TRAIL CREEK DR VICTOR ID 83455
idaholicensing.com
ID 48354800
LAST UPDATED 2024-02-25 00:17:00 UTC

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