ALLEN LEE BEACH

Idaho  LRT-1094   Canceled

This Idaho license was held by ALLEN LEE BEACH. The license is no longer active. It was granted on 03/07/2005 and expired on 08/01/2011

LICENSE DETAILS

  • License Number: LRT-1094
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 03/07/2005 (about 20 years ago)
  • Expiry Date: 08/01/2011 (almost 14 years ago)

LOCATIONS

A Residential

2 PARKWOOD CIRCLE WALLA WALLA WA 99362