GARY KEVIN BAINES

Idaho  GPA-025   Canceled

This Idaho license was held by GARY KEVIN BAINES. The license is no longer active. It was granted on 06/29/2007

LICENSE DETAILS

  • License Number: GPA-025
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 06/29/2007 (almost 18 years ago)

LOCATIONS

A Residential

1585 SUNNY PINE WAY IDAHO FALLS ID 83404