GORDON EDWARD DIXON Jr
Idaho SPHY-200 Canceled
This Idaho license was held by GORDON EDWARD DIXON Jr. The license is no longer active. It was granted on 05/28/1998 and expired on 12/31/2007
LICENSE DETAILS
- License Number: SPHY-200
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/28/1998 (about 27 years ago)
- Expiry Date: 12/31/2007 (over 17 years ago)
LOCATIONS
A Residential
1441 Parkway Dr BLACKFOOT ID 83221