KENNETH ALAN BRAIT - Medical Doctor License in Idaho | # 036041928

KENNETH ALAN BRAIT

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041928

License Status

NOT RENEWED

Business

N

First Name

KENNETH ALAN

Last Name

BRAIT

Business Name

KENNETH ALAN BRAIT

Original Issue Date

07/18/1968

Effective Date

07/18/1968

Expiration Date

07/01/1969

State

ID

Ever Disciplined

N

LastModifiedDate

02/10/2009