DEVEN DWAYNE BRADEN
Idaho PAT-1253 Expired
This Idaho license was held by DEVEN DWAYNE BRADEN. The license is no longer active. It was granted on 09/25/2014 and expired on 08/05/2016
LICENSE DETAILS
- License Number: PAT-1253
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/25/2014 (over 9 years ago)
- Expiry Date: 08/05/2016 (over 7 years ago)
LOCATIONS
A Residential
923 E LANDER ST POCATELLO ID 83201