License holder summary

KIM JOANN GLENN is a Board Of Medicine licensed to practice in Idaho. The address on file for KIM JOANN GLENN is 415 6th St LEWISTON ID 83501. This licensed professional license is not current. The license was granted 10/17/2007 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

KIM JOANN GLENN
Board Of Medicine
License number
PA-714
Date granted
10/17/2007
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
415 6th St LEWISTON ID 83501
idaholicensing.com
ID 48351247
LAST UPDATED 2024-02-20 20:05:05 UTC

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