GERTJAN MULDER
Idaho SPHY-4931 Canceled
This Idaho license was held by GERTJAN MULDER. The license is no longer active. It was granted on 02/26/2007 and expired on 02/02/2015
LICENSE DETAILS
- License Number: SPHY-4931
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/26/2007 (about 17 years ago)
- Expiry Date: 02/02/2015 (about 9 years ago)
LOCATIONS
A Residential
3301 N Sawgrass Way Boise ID 83704