BRENT ROGER LEAVITT
Idaho PAT-1098 Expired
This Idaho license was held by BRENT ROGER LEAVITT. The license is no longer active. It was granted on 09/11/2013 and expired on 08/07/2015
LICENSE DETAILS
- License Number: PAT-1098
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/11/2013 (over 11 years ago)
- Expiry Date: 08/07/2015 (over 9 years ago)
LOCATIONS
A Residential
1550 elkcreek drive Idaho Falls ID 83404