BRANDON JEREMY ROTH
Idaho LRT-834 Canceled
This Idaho license was held by BRANDON JEREMY ROTH. The license is no longer active. It was granted on 09/22/2000 and expired on 08/01/2013
LICENSE DETAILS
- License Number: LRT-834
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/22/2000 (almost 25 years ago)
- Expiry Date: 08/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
PO BOX 4430 POCATELLO ID 83205