Idaho
Division of Occupational and Professional Licenses
KEVIN MICHAEL SIMONELIC
Board Of Medicine
License number
MRM-1522
Date granted
07/30/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
207 CHURCH ST SANDPOINT ID 83864
idaholicensing.com
ID 48354632
LAST UPDATED 2024-02-24 20:19:21 UTC
LAST UPDATED 2024-02-24 20:19:21 UTC
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