GERALD THOMAS PRUITT
Idaho O-0369 Canceled
This Idaho license was held by GERALD THOMAS PRUITT. The license is no longer active. It was granted on 09/12/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: O-0369
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/12/2005 (over 19 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Residential
98 POPLAR BLACKFOOT ID 83221