CASSIE KING BROADHEAD
Idaho PAT-1076 Expired
This Idaho license was held by CASSIE KING BROADHEAD. The license is no longer active. It was granted on 09/11/2013 and expired on 08/07/2015
LICENSE DETAILS
- License Number: PAT-1076
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/11/2013 (over 10 years ago)
- Expiry Date: 08/07/2015 (over 8 years ago)
LOCATIONS
A Residential
1505 EASTRIDGE DR #13 POCATELLO ID 83201