BRIAN JOHN PADRTA
Idaho M-6904 Canceled
This Idaho license was held by BRIAN JOHN PADRTA. The license is no longer active. It was granted on 12/11/1995 and expired on 07/01/1990
LICENSE DETAILS
- License Number: M-6904
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/11/1995 (over 28 years ago)
- Expiry Date: 07/01/1990 (almost 34 years ago)
LOCATIONS
A Residential
235 E Rowan Ste 117 Spokane WA 99207