FREDERICK SURBAUGH
Idaho M-4252 Canceled
This Idaho license was held by FREDERICK SURBAUGH. The license is no longer active. It was granted on 11/22/1980 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-4252
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/22/1980 (over 44 years ago)
- Expiry Date: 08/01/2014 (over 10 years ago)
LOCATIONS
A Residential
1868 GALENA DRIVE TWIN FALLS ID 83301