GENE RICHARD PROFANT
Idaho M-7015 Canceled
This Idaho license was held by GENE RICHARD PROFANT. The license is no longer active. It was granted on 06/01/1996 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-7015
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/01/1996 (almost 29 years ago)
- Expiry Date: 08/01/2014 (over 10 years ago)
LOCATIONS
A Residential
9330 CLASSIC DR NE LACEY WA 98516