GAVIN ROSS POWELL
Idaho SPHY-7519 Renewed
This Idaho license is held by GAVIN ROSS POWELL. The license is currently active. It was granted on 09/08/2005 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHY-7519
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/08/2005 (over 18 years ago)
- Expiry Date: 12/31/2016 (over 7 years ago)
LOCATIONS
A Residential
318 2ND ST S NAMPA ID 83651
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