License holder summary

KENNETH WAYNE MOSS is a Medical - Physician Who Holds A Locum Tenens Permit licensed to practice in Alaska. The address on file for KENNETH WAYNE MOSS is 329 HYLANDE DRIVE GREAT FALLS MT 59405. This licensed professional license is current. The license was granted 08/02/2004 and expired on 10/30/2004.

Alaska

Division of Corporations, Business and Professional Licensing

KENNETH WAYNE MOSS
Medical - Physician Who Holds A Locum Tenens Permit
License number
3009
Date granted
08/02/2004
Date expires
10/30/2004
Class
Medical - Physician Who Holds A Locum Tenens Permit
Status
Licensed
Address
329 HYLANDE DRIVE GREAT FALLS MT 59405
alaskalicensing.com
ID 20455525
LAST UPDATED 2024-04-11 02:54:07 UTC

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