ETHAN DANIEL WASHBURN
Idaho PAT-690 Expired
This Idaho license was held by ETHAN DANIEL WASHBURN. The license is no longer active. It was granted on 01/12/2009 and expired on 07/17/2009
LICENSE DETAILS
- License Number: PAT-690
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 01/12/2009 (over 17 years ago)
- Expiry Date: 07/17/2009 (about 17 years ago)
LOCATIONS
A Residential
140 N 12TH AVE OTHELLO WA 99344