Dr. PAULA Jean FORMOSA
Idaho TLM-3976 Upgraded
This Idaho license was held by Dr. PAULA Jean FORMOSA. The license is no longer active. It was granted on 09/23/2013
LICENSE DETAILS
- License Number: TLM-3976
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 09/23/2013 (over 10 years ago)
LOCATIONS
A Residential
55 IDEAL DRIVE SANDPOINT ID 83864