Dr. GUILLERMO MODAD
Idaho M-12525 Renewed
This Idaho license is held by Dr. GUILLERMO MODAD. The license is currently active. It was granted on 06/23/2014 and expired on 06/30/2018
LICENSE DETAILS
- License Number: M-12525
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 06/23/2014 (almost 10 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
313 S MONROE ST MOSCOW ID 83843
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