EDWARD L. GALLIVAN
Idaho TLM-224 Upgraded
This Idaho license was held by EDWARD L. GALLIVAN. The license is no longer active. It was granted on 05/05/1959
LICENSE DETAILS
- License Number: TLM-224
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/05/1959 (about 65 years ago)
LOCATIONS
A Residential
1809 Boyd Avenue Coeur d Alene ID 83814