Alex Cameron Moss

Idaho  PA-516   Renewed

This Idaho license is held by Alex Cameron Moss. The license is currently active. It was granted on 10/12/2004 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: PA-516
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 10/12/2004 (over 19 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

465 Washington St MONTPELIER ID 83254