License holder summary

KERRY BRENT HAGEN is a Board Of Medicine licensed to practice in Idaho. The address on file for KERRY BRENT HAGEN is 1421 Celesta Ave. Spokane WA 99202. This licensed professional license is not current. The license was granted 07/05/1988 and expired on 07/02/1990.

Idaho

Division of Occupational and Professional Licenses

KERRY BRENT HAGEN
Board Of Medicine
License number
M-5389
Date granted
07/05/1988
Date expires
07/02/1990
Class
Board Of Medicine
Status
Canceled
Address
1421 Celesta Ave. Spokane WA 99202
idaholicensing.com
ID 48334338
LAST UPDATED 2024-04-14 21:16:58 UTC

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