GERALD IRA POLUKOFF
Idaho MI-9904 Canceled
This Idaho license was held by GERALD IRA POLUKOFF. The license is no longer active. It was granted on 04/19/2007 and expired on 08/01/2014
LICENSE DETAILS
- License Number: MI-9904
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/19/2007 (about 17 years ago)
- Expiry Date: 08/01/2014 (almost 10 years ago)
LOCATIONS
A Residential
1400 N 1350 E LOGAN UT 84341