CREIGHTON MAX LEWIS

Idaho  MRM-1483   Expired

This Idaho license was held by CREIGHTON MAX LEWIS. The license is no longer active. It was granted on 05/11/2015 and expired on 06/30/2016

LICENSE DETAILS

  • License Number: MRM-1483
  • Category: Board Of Medicine
  • Status: Expired
  • Date Granted: 05/11/2015 (almost 10 years ago)
  • Expiry Date: 06/30/2016 (almost 9 years ago)

LOCATIONS

A Residential

150 N 750 E BOUNTIFUL UT 84010