CHARLES LEE PAYNE
Idaho M-8684 Canceled
This Idaho license was held by CHARLES LEE PAYNE. The license is no longer active. It was granted on 11/14/2002 and expired on 07/31/2010
LICENSE DETAILS
- License Number: M-8684
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/14/2002 (over 21 years ago)
- Expiry Date: 07/31/2010 (almost 14 years ago)
LOCATIONS
A Residential
970 W BROADWAY #378 JACKSON WY 83001