Idaho
Division of Occupational and Professional Licenses
KIMI MARIE HOLLAND
Board Of Medicine
License number
LRT-1767
Date granted
04/21/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
884 NW 21st St. FRUITLAND ID 83619
idaholicensing.com
ID 48353116
LAST UPDATED 2026-04-28 10:54:28 UTC
LAST UPDATED 2026-04-28 10:54:28 UTC
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