CLYDE MAURICE MAGNUSON, JR.

Idaho  LRT-575   Canceled

This Idaho license was held by CLYDE MAURICE MAGNUSON, JR.. The license is no longer active. It was granted on 09/09/1996 and expired on 07/02/2002

LICENSE DETAILS

  • License Number: LRT-575
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 09/09/1996 (almost 29 years ago)
  • Expiry Date: 07/02/2002 (about 23 years ago)

LOCATIONS

A Residential

General Delivery Marquette MI 49855