DAVID R. EWING
Idaho TLM-1617 Upgraded
This Idaho license was held by DAVID R. EWING. The license is no longer active. It was granted on 06/10/1986
LICENSE DETAILS
- License Number: TLM-1617
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/10/1986 (almost 40 years ago)
LOCATIONS
A Residential
432 N. Ivy Lane #B3 Provo UT 84604