BRYAN R LARSEN
Idaho M-6616 Canceled
This Idaho license was held by BRYAN R LARSEN. The license is no longer active. It was granted on 11/14/1994 and expired on 08/01/2012
LICENSE DETAILS
- License Number: M-6616
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/14/1994 (over 30 years ago)
- Expiry Date: 08/01/2012 (almost 13 years ago)
LOCATIONS
A Residential
1709 Quail Way Logan UT 84321