Idaho
Division of Occupational and Professional Licenses
PAUL BRANTLEY KETTLE
Board Of Medicine
License number
LRT-1689
Date granted
03/20/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
182 East Orchard AVE Hayden ID 83835
idaholicensing.com
ID 48348706
LAST UPDATED 2024-03-30 19:27:39 UTC
LAST UPDATED 2024-03-30 19:27:39 UTC
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