License holder summary

SUSAN KATHLEEN GELLETLY is a Board Of Medicine licensed to practice in Idaho. The address on file for SUSAN KATHLEEN GELLETLY is 1104 E Bannock St BOISE ID 83712. This licensed professional license is not current. The license was granted 07/23/1987 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

SUSAN KATHLEEN GELLETLY
Board Of Medicine
License number
M-5255
Date granted
07/23/1987
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1104 E Bannock St BOISE ID 83712
idaholicensing.com
ID 48348651
LAST UPDATED 2024-02-18 08:03:03 UTC

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