Idaho
Division of Occupational and Professional Licenses
KYNWYNN C MADSEN
Board Of Medicine
License number
D-933
Date granted
06/28/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3712 E 190 N RIGBY ID 83442
idaholicensing.com
ID 48329993
LAST UPDATED 2024-04-12 09:52:15 UTC
LAST UPDATED 2024-04-12 09:52:15 UTC
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