ALVIN PETE CORMACK

Idaho  M-9608   Surrendered

This Idaho license was held by ALVIN PETE CORMACK. The license is no longer active. It was granted on 05/11/2006

LICENSE DETAILS

  • License Number: M-9608
  • Category: Board Of Medicine
  • Status: Surrendered
  • Date Granted: 05/11/2006 (almost 18 years ago)

LOCATIONS

A Residential

320 14TH AVE LEWISTON ID 83501