License holder summary

KIMBERLY RAE PELLEY is a Board Of Medicine licensed to practice in Idaho. The address on file for KIMBERLY RAE PELLEY is 4283 WISTERIA WAY BOISE ID 83713. This licensed professional license is current. The license was granted 06/17/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIMBERLY RAE PELLEY
Board Of Medicine
License number
LRT-927
Date granted
06/17/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4283 WISTERIA WAY BOISE ID 83713
idaholicensing.com
ID 48362246
LAST UPDATED 2026-05-18 20:25:55 UTC

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