ALICE MYRA FORSYTHE
Physician - Temp Physician/Surgeon Cont Substance
Utah 8129698-8018 Superceded
This Utah license was held by ALICE MYRA FORSYTHE. The license is no longer active. It was granted on 11/10/2011 and expired on 11/10/2012
LICENSE DETAILS
- License Number: 8129698-8018
- Category: TEMP PHYSICIAN/SURGEON CONT SUBSTANCE
- Status: Superceded
- Date Granted: 11/10/2011 (almost 15 years ago)
- Expiry Date: 11/10/2012 (almost 14 years ago)
LOCATIONS
A Address
BOISE, ID 83702