GLENN PETER MORADIAN

Idaho  M-9166   Renewed

This Idaho license is held by GLENN PETER MORADIAN. The license is currently active. It was granted on 11/23/2004 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: M-9166
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 11/23/2004 (over 20 years ago)
  • Expiry Date: 06/30/2017 (almost 8 years ago)

LOCATIONS

A Residential

P O BOX 373 TETONIA ID 83452