Idaho
Division of Occupational and Professional Licenses
MICHAEL PATRICK KENNEDY
Board Of Medicine
License number
M-7955
Date granted
04/05/2000
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
3181 SW Sam Jackson Pk Rd Portland OR 97201
idaholicensing.com
ID 48346428
LAST UPDATED 2024-02-07 18:57:25 UTC
LAST UPDATED 2024-02-07 18:57:25 UTC
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