DAVID ALONSO BALTIERRA
Idaho TLM-2662 Upgraded
This Idaho license was held by DAVID ALONSO BALTIERRA. The license is no longer active. It was granted on 08/18/1997
LICENSE DETAILS
- License Number: TLM-2662
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/18/1997 (over 26 years ago)
LOCATIONS
A Residential
PO Box 9 Nampa ID 83653