License holder summary

KIMBERLY ANN PACKER is a Board Of Medicine licensed to practice in Idaho. The address on file for KIMBERLY ANN PACKER is 3011 MAYFAIR RIDGE LEWISTON ID 83501. This licensed professional license is current. The license was granted 07/14/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIMBERLY ANN PACKER
Board Of Medicine
License number
D-876
Date granted
07/14/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3011 MAYFAIR RIDGE LEWISTON ID 83501
idaholicensing.com
ID 48329617
LAST UPDATED 2024-03-31 13:52:51 UTC

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