GENE RICHARD PROFANT
Idaho TLM-2523 Upgraded
This Idaho license was held by GENE RICHARD PROFANT. The license is no longer active. It was granted on 05/15/1996
LICENSE DETAILS
- License Number: TLM-2523
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/15/1996 (almost 29 years ago)
LOCATIONS
A Residential
9330 CLASSIC DR NE LACEY WA 98516