Idaho
Division of Occupational and Professional Licenses
KENT MICHAEL SANDQUIST
Board Of Medicine
License number
PAG-015
Date granted
11/10/2005
Class
Board Of Medicine
Status
Canceled
Address
17925 BEAUJOLAIS DR EAGLE RIVER AK 99577
idaholicensing.com
ID 48345769
LAST UPDATED 2026-04-17 08:15:54 UTC
LAST UPDATED 2026-04-17 08:15:54 UTC
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