BRIAN KEITH BATES
Idaho M-8521 Canceled
This Idaho license was held by BRIAN KEITH BATES. The license is no longer active. It was granted on 06/07/2002 and expired on 08/01/2016
LICENSE DETAILS
- License Number: M-8521
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/07/2002 (almost 22 years ago)
- Expiry Date: 08/01/2016 (over 7 years ago)
LOCATIONS
A Residential
77 W. Forest Ave Flagstaff AZ 86001