License holder summary

TESSLYN SUZANNE KEIM is a Board Of Medicine licensed to practice in Idaho. The address on file for TESSLYN SUZANNE KEIM is 15159 SE BANNER CT CLACKAMAS OR 97015. This licensed professional license is not current. The license was granted 12/21/2012 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

TESSLYN SUZANNE KEIM
Board Of Medicine
License number
PA-1040
Date granted
12/21/2012
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
15159 SE BANNER CT CLACKAMAS OR 97015
idaholicensing.com
ID 48347686
LAST UPDATED 2026-05-06 20:28:33 UTC

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