License holder summary

KERRY CHRISTINA LOPEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for KERRY CHRISTINA LOPEZ is 2607 Linda Vista St Clarkston WA 99403. This licensed professional license is not current. The license was granted 10/25/1999 and expired on 07/06/2004.

Idaho

Division of Occupational and Professional Licenses

KERRY CHRISTINA LOPEZ
Board Of Medicine
License number
AT-169
Date granted
10/25/1999
Date expires
07/06/2004
Class
Board Of Medicine
Status
Canceled
Address
2607 Linda Vista St Clarkston WA 99403
idaholicensing.com
ID 48349496
LAST UPDATED 2024-03-11 23:01:22 UTC

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