ALEXANDER J. KLISTOFF
Idaho M-3936 Canceled
This Idaho license was held by ALEXANDER J. KLISTOFF. The license is no longer active. It was granted on 05/05/1979 and expired on 07/01/1978
LICENSE DETAILS
- License Number: M-3936
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/05/1979 (about 46 years ago)
- Expiry Date: 07/01/1978 (almost 47 years ago)
LOCATIONS
A Residential
1117 East Main Street Grass Valley CA 95945