EDWARD ANGUS VIVIAN
Idaho M-6912 Canceled
This Idaho license was held by EDWARD ANGUS VIVIAN. The license is no longer active. It was granted on 01/04/1996 and expired on 07/02/1999
LICENSE DETAILS
- License Number: M-6912
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/04/1996 (about 29 years ago)
- Expiry Date: 07/02/1999 (almost 26 years ago)
LOCATIONS
A Residential
1604 KESTREL DRIVE CLARKSTON WA 99403