GARY WAYNE SOUCIE
Idaho DPHY-8585 Renewed
This Idaho license is held by GARY WAYNE SOUCIE. The license is currently active. It was granted on 09/17/2009 and expired on 12/31/2017
LICENSE DETAILS
- License Number: DPHY-8585
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/17/2009 (over 15 years ago)
- Expiry Date: 12/31/2017 (over 7 years ago)
LOCATIONS
A Residential
1441 Parkway Dr BLACKFOOT ID 83221
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