FREDERICK P AMBROSE
Idaho M-3731 Canceled
This Idaho license was held by FREDERICK P AMBROSE. The license is no longer active. It was granted on 10/30/1977 and expired on 08/01/2016
LICENSE DETAILS
- License Number: M-3731
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/30/1977 (over 46 years ago)
- Expiry Date: 08/01/2016 (over 7 years ago)
LOCATIONS
A Residential
980 W. IRONWOOD DRIVE, SUITE 306 COEUR D ALENE ID 83814