GRANT P BAGLEY
Idaho M-4551 Canceled
This Idaho license was held by GRANT P BAGLEY. The license is no longer active. It was granted on 09/27/1982 and expired on 08/01/2008
LICENSE DETAILS
- License Number: M-4551
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/27/1982 (over 42 years ago)
- Expiry Date: 08/01/2008 (almost 17 years ago)
LOCATIONS
A Residential
1101 Francis Ave BALTIMORE MD 21227