BARRY JUSTIN CUSACK
Idaho SPHY-5678 Canceled
This Idaho license was held by BARRY JUSTIN CUSACK. The license is no longer active. It was granted on 05/31/1990
LICENSE DETAILS
- License Number: SPHY-5678
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/31/1990 (almost 34 years ago)
LOCATIONS
A Residential
9550 W Chelan Avenue Garden City ID 83714