COREY DAWN ANDEN

Idaho  M-5661   Canceled

This Idaho license was held by COREY DAWN ANDEN. The license is no longer active. It was granted on 04/21/1990 and expired on 07/02/1991

LICENSE DETAILS

  • License Number: M-5661
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 04/21/1990 (about 35 years ago)
  • Expiry Date: 07/02/1991 (almost 34 years ago)

LOCATIONS

A Residential

777 Hospital Way Pocatello ID 83201