License holder summary

KYLI SHEA GOUGH is a Board Of Medicine licensed to practice in Idaho. The address on file for KYLI SHEA GOUGH is PO BOX 599 SHOSHONE ID 83352. This licensed professional license is current. The license was granted 08/20/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KYLI SHEA GOUGH
Board Of Medicine
License number
D-781
Date granted
08/20/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 599 SHOSHONE ID 83352
idaholicensing.com
ID 48350975
LAST UPDATED 2024-03-01 13:20:44 UTC

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