Idaho
Division of Occupational and Professional Licenses
MARVIN RENELL KYM
Board Of Medicine
License number
DPHY-6029
Date granted
04/14/2014
Date expires
02/01/2016
Class
Board Of Medicine
Status
Canceled
Address
3316 4th St 4B LEWISTON ID 83501
idaholicensing.com
ID 48356870
LAST UPDATED 2026-05-15 09:09:51 UTC
LAST UPDATED 2026-05-15 09:09:51 UTC
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