FREDRICK ALLAN EISEMAN
Idaho M-6308 Canceled
This Idaho license was held by FREDRICK ALLAN EISEMAN. The license is no longer active. It was granted on 09/11/1993 and expired on 07/05/1994
LICENSE DETAILS
- License Number: M-6308
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/11/1993 (over 31 years ago)
- Expiry Date: 07/05/1994 (almost 31 years ago)
LOCATIONS
A Residential
17 West 9th St New York NY 10011