License holder summary

KEVIN LEROY MALLORY is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN LEROY MALLORY is 607 W MAIN ST GRANGEVILLE ID 83530. This licensed professional license is not current. The license was granted 03/12/2010 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

KEVIN LEROY MALLORY
Board Of Medicine
License number
PA-846
Date granted
03/12/2010
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
607 W MAIN ST GRANGEVILLE ID 83530
idaholicensing.com
ID 48357447
LAST UPDATED 2026-05-30 04:58:17 UTC

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