FREDERICK P AMBROSE
Idaho SPHY-3731 Canceled
This Idaho license was held by FREDERICK P AMBROSE. The license is no longer active. It was granted on 06/09/2008
LICENSE DETAILS
- License Number: SPHY-3731
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/09/2008 (almost 16 years ago)
LOCATIONS
A Residential
980 W. IRONWOOD DRIVE, SUITE 306 COEUR D ALENE ID 83814