HEIDI GEORGE MOAWAD

Idaho  M-9119   Canceled

This Idaho license was held by HEIDI GEORGE MOAWAD. The license is no longer active. It was granted on 08/27/2004 and expired on 08/01/2011

LICENSE DETAILS

  • License Number: M-9119
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 08/27/2004 (over 19 years ago)
  • Expiry Date: 08/01/2011 (over 12 years ago)

LOCATIONS

A Residential

4539 HUNTING VALLEY LANE BRECKSVILLE OH 44141