The holder whose full name is WEITEMIER, KENNETH HOWARD,come from Boise ID,hold the Physician license(NO.01025475A) which status is Active.
| Name | WEITEMIER, KENNETH HOWARD |
|---|---|
| License Number | 01025475A |
| License Type | Physician |
| License Status | Active |
| City | Boise |
| State | ID |