CARL FREEBOROUGH EKSTROM
Idaho MV-0002 Canceled
This Idaho license was held by CARL FREEBOROUGH EKSTROM. The license is no longer active. It was granted on 01/19/2006 and expired on 08/01/2012
LICENSE DETAILS
- License Number: MV-0002
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/19/2006 (over 18 years ago)
- Expiry Date: 08/01/2012 (almost 12 years ago)
LOCATIONS
A Residential
1859 N WINROSK ST LIBERTY LAKE WA 99019