The holder whose full name is HOFFMAN, KENNETH CLYDE,come from IDAHO FALLD ID,hold the Physician license(NO.01017867A) which status is Expired Non-Renewable.
| Name | HOFFMAN, KENNETH CLYDE |
|---|---|
| License Number | 01017867A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | IDAHO FALLD |
| State | ID |