License holder summary

KEVIN MICHAEL CONRAD is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN MICHAEL CONRAD is 1378 N LILLY AVE #104 BOISE ID 83713. This licensed professional license is not current. The license was granted 05/11/2015 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

KEVIN MICHAEL CONRAD
Board Of Medicine
License number
MRM-1487
Date granted
05/11/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
1378 N LILLY AVE #104 BOISE ID 83713
idaholicensing.com
ID 48329850
LAST UPDATED 2024-02-24 14:56:24 UTC

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