BENJAMIN MICHAEL BIERMANN
Idaho LRT-636 Surrendered
This Idaho license was held by BENJAMIN MICHAEL BIERMANN. The license is no longer active. It was granted on 06/30/1997
LICENSE DETAILS
- License Number: LRT-636
- Category: Board Of Medicine
- Status: Surrendered
- Date Granted: 06/30/1997 (almost 27 years ago)
LOCATIONS
A Residential
759 W BOGUS VIEW DR EAGLE ID 83616