Idaho
Division of Occupational and Professional Licenses
SUSAN ANN KEETON
Board Of Medicine
License number
LRT-628
Date granted
06/13/1997
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
1906 Highway 54 S Trlr 11 Alamogordo NM 88310
idaholicensing.com
ID 48347107
LAST UPDATED 2024-04-11 15:11:04 UTC
LAST UPDATED 2024-04-11 15:11:04 UTC
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