License holder summary

KIRK J LEWIS is a Board Of Medicine licensed to practice in Idaho. The address on file for KIRK J LEWIS is 1188 University Dr. Boise ID 83706. This licensed professional license is current. The license was granted 08/05/2011 and expired on 12/31/2017.

Idaho

Division of Occupational and Professional Licenses

KIRK J LEWIS
Board Of Medicine
License number
DPHY-4960
Date granted
08/05/2011
Date expires
12/31/2017
Class
Board Of Medicine
Status
Renewed
Address
1188 University Dr. Boise ID 83706
idaholicensing.com
ID 48349131
LAST UPDATED 2024-03-09 00:00:21 UTC

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