Dr. JACK L TEDROW
Idaho M-2554 Deceased
This Idaho license was held by Dr. JACK L TEDROW. The license is no longer active. It was granted on 01/09/1962 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-2554
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 01/09/1962 (about 63 years ago)
- Expiry Date: 06/30/2005 (over 19 years ago)
LOCATIONS
A Residential
5867 Shangri Ln Salt Lake City UT 84121