License holder summary

KEVIN M. PATRICK is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN M. PATRICK is 3275 Emigration Canyon Salt Lake City UT 84108. This licensed professional license is not current. The license was granted 11/04/1978 and expired on 11/04/1978.

Idaho

Division of Occupational and Professional Licenses

KEVIN M. PATRICK
Board Of Medicine
License number
M-3866
Date granted
11/04/1978
Date expires
11/04/1978
Class
Board Of Medicine
Status
Canceled
Address
3275 Emigration Canyon Salt Lake City UT 84108
idaholicensing.com
ID 48338427
LAST UPDATED 2024-01-26 23:05:11 UTC

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