Dr. LUKE ADAM POULTER
Idaho MSO-0072 Upgraded
This Idaho license was held by Dr. LUKE ADAM POULTER. The license is no longer active. It was granted on 06/28/2013
LICENSE DETAILS
- License Number: MSO-0072
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/28/2013 (almost 12 years ago)
LOCATIONS
A Residential
465 MEMORIAL DR Pocatello ID 83201