GEOFFREY N SWANSON
Idaho SPHY-6536 Canceled
This Idaho license was held by GEOFFREY N SWANSON. The license is no longer active. It was granted on 01/04/2007 and expired on 02/01/2016
LICENSE DETAILS
- License Number: SPHY-6536
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/04/2007 (over 18 years ago)
- Expiry Date: 02/01/2016 (about 9 years ago)
LOCATIONS
A Residential
601 SW 2nd Avenue Portland OR 97204