License holder summary

KRISTOPHER CLARENCE BROADBENT is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTOPHER CLARENCE BROADBENT is 284 110TH ST OROFINO ID 83544. This licensed professional license is current. The license was granted 07/21/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KRISTOPHER CLARENCE BROADBENT
Board Of Medicine
License number
D-879
Date granted
07/21/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
284 110TH ST OROFINO ID 83544
idaholicensing.com
ID 48329829
LAST UPDATED 2024-04-08 04:33:07 UTC

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