DOUGLAS WAYNE BALL

Idaho  AT-504   Renewed

This Idaho license is held by DOUGLAS WAYNE BALL. The license is currently active. It was granted on 06/03/2014 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: AT-504
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 06/03/2014 (about 12 years ago)
  • Expiry Date: 06/30/2017 (about 9 years ago)

LOCATIONS

A Residential

2148 BURTON CANYON RD GRACE ID 83241