FREDRICK ALLAN EISEMAN
Idaho TLM-2193 Upgraded
This Idaho license was held by FREDRICK ALLAN EISEMAN. The license is no longer active. It was granted on 06/29/1993
LICENSE DETAILS
- License Number: TLM-2193
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/29/1993 (almost 32 years ago)
LOCATIONS
A Residential
17 West 9th St New York NY 10011