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 The license is no longer active.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 (about 41 years ago)
LOCATIONS
A Residential
PO Box 311 Payson UT 84651