License holder summary

KEVIN ROY MOORE is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN ROY MOORE is 2725 S. Hartford St. Salt Lake City UT 84106. This licensed professional license is not current. The license was granted 08/04/1994 and expired on 07/02/1996.

Idaho

Division of Occupational and Professional Licenses

KEVIN ROY MOORE
Board Of Medicine
License number
M-6524
Date granted
08/04/1994
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
2725 S. Hartford St. Salt Lake City UT 84106
idaholicensing.com
ID 48359351
LAST UPDATED 2024-04-26 08:04:20 UTC

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