BRENT ROGER LEAVITT
Idaho PA-1299 Licensed
This Idaho license is held by BRENT ROGER LEAVITT. The license is currently active. It was granted on 09/29/2015 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PA-1299
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 09/29/2015 (over 9 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
1550 elkcreek drive Idaho Falls ID 83404
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