License holder summary

SEAN MICHAEL KELLY is a Board Of Medicine licensed to practice in Idaho. The address on file for SEAN MICHAEL KELLY is 2592 Sumac Ln Boise ID 83706. This licensed professional license is not current. The license was granted 08/13/1996 and expired on 07/06/2004.

Idaho

Division of Occupational and Professional Licenses

SEAN MICHAEL KELLY
Board Of Medicine
License number
AT-118
Date granted
08/13/1996
Date expires
07/06/2004
Class
Board Of Medicine
Status
Canceled
Address
2592 Sumac Ln Boise ID 83706
idaholicensing.com
ID 48356068
LAST UPDATED 2024-04-06 09:32:55 UTC

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