GIOVANNINA MARIA ANTHONY

Idaho  TLM-2700   Upgraded

This Idaho license was held by GIOVANNINA MARIA ANTHONY. The license is no longer active. It was granted on 01/15/1998

LICENSE DETAILS

  • License Number: TLM-2700
  • Category: Board Of Medicine
  • Status: Upgraded
  • Date Granted: 01/15/1998 (over 26 years ago)

LOCATIONS

A Residential

4083 Tujunga Ave. #104 Studio City CA 91604