CARL M MELINA
Idaho TLM-1039 Upgraded
This Idaho license was held by CARL M MELINA. The license is no longer active. It was granted on 05/22/1979
LICENSE DETAILS
- License Number: TLM-1039
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/22/1979 (almost 46 years ago)
LOCATIONS
A Residential
2028 SW MOSS ST PORTLAND OR 97219