License holder summary

KEVIN CHRISTOPHER KOELSCH is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN CHRISTOPHER KOELSCH is 302 1ST AVE. Lewiston ID 83501. This licensed professional license is not current. The license was granted 08/12/2009 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

KEVIN CHRISTOPHER KOELSCH
Board Of Medicine
License number
LRT-1401
Date granted
08/12/2009
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
302 1ST AVE. Lewiston ID 83501
idaholicensing.com
ID 48356440
LAST UPDATED 2024-04-06 11:58:34 UTC

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