Dr. DAVID MICHAEL ANTHONY MACIAS
Idaho M-12514 Canceled
This Idaho license was held by Dr. DAVID MICHAEL ANTHONY MACIAS. The license is no longer active. It was granted on 06/17/2014 and expired on 08/01/2016
LICENSE DETAILS
- License Number: M-12514
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/17/2014 (almost 11 years ago)
- Expiry Date: 08/01/2016 (over 8 years ago)
LOCATIONS
A Residential
1624 TAYLOR THURSTON RD COLUMBUS MS 39701