Idaho
Division of Occupational and Professional Licenses
KODY KURTIS TEW
Board Of Medicine
License number
PA-1057
Date granted
03/14/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
711 RIGBY LAKE DRIVE Rigby ID 83442
idaholicensing.com
ID 48349261
LAST UPDATED 2024-03-14 22:23:25 UTC
LAST UPDATED 2024-03-14 22:23:25 UTC
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