BRIAN LANE MCMAHAN

Idaho  MRM-1215   Expired

This Idaho license was held by BRIAN LANE MCMAHAN. The license is no longer active. It was granted on 06/24/2011 and expired on 06/30/2014

LICENSE DETAILS

  • License Number: MRM-1215
  • Category: Board Of Medicine
  • Status: Expired
  • Date Granted: 06/24/2011 (about 13 years ago)
  • Expiry Date: 06/30/2014 (almost 10 years ago)

LOCATIONS

A Residential

500 W FORT ST #111 BOISE ID 83702