Idaho
Division of Occupational and Professional Licenses
MICHAEL DUSTIN KENNEDY
Board Of Medicine
License number
O-320
Date granted
09/13/2003
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
207 PINE DRIVE BLACKSBURG VA 24060
idaholicensing.com
ID 48346425
LAST UPDATED 2024-04-21 10:53:34 UTC
LAST UPDATED 2024-04-21 10:53:34 UTC
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