ERIC W. POLK
Idaho M-4158 Canceled
This Idaho license was held by ERIC W. POLK. The license is no longer active. It was granted on 05/12/1980 and expired on 07/01/1975
LICENSE DETAILS
- License Number: M-4158
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/12/1980 (about 44 years ago)
- Expiry Date: 07/01/1975 (almost 49 years ago)
LOCATIONS
A Residential
9400 Ridge Road ZEPHYRHILLS FL 33542