DAVID ALONSO BALTIERRA

Idaho  M-7352   Canceled

This Idaho license was held by DAVID ALONSO BALTIERRA. The license is no longer active. It was granted on 09/06/1997 and expired on 06/30/2002

LICENSE DETAILS

  • License Number: M-7352
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 09/06/1997 (over 26 years ago)
  • Expiry Date: 06/30/2002 (almost 22 years ago)

LOCATIONS

A Residential

PO Box 9 Nampa ID 83653