CLISTO DEVAUGHN BEATY

Idaho  M-4600   Canceled

This Idaho license was held by CLISTO DEVAUGHN BEATY. The license is no longer active. It was granted on 02/17/1983

LICENSE DETAILS

  • License Number: M-4600
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 02/17/1983 (over 39 years ago)

LOCATIONS

A Residential

PO Box 311 Payson UT 84651