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 2026-03-17 10:44:48 UTC
LAST UPDATED 2026-03-17 10:44:48 UTC
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