GRETA LOUISE MIRACLE
Idaho PAT-620 Expired
This Idaho license was held by GRETA LOUISE MIRACLE. The license is no longer active. It was granted on 07/11/2008 and expired on 08/05/2008
LICENSE DETAILS
- License Number: PAT-620
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 07/11/2008 (almost 17 years ago)
- Expiry Date: 08/05/2008 (almost 17 years ago)
LOCATIONS
A Residential
405 NE 80TH AVE PORTLAND OR 97213