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 2026-04-29 17:29:09 UTC
LAST UPDATED 2026-04-29 17:29:09 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.