GERALD C BAUMAN
Idaho M-2647 Canceled
This Idaho license was held by GERALD C BAUMAN. The license is no longer active. It was granted on 01/13/1964 and expired on 08/03/2015
LICENSE DETAILS
- License Number: M-2647
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/13/1964 (over 61 years ago)
- Expiry Date: 08/03/2015 (almost 10 years ago)
LOCATIONS
A Residential
910 E Ash CALDWELL ID 83605