III JAMES SAMUEL MONTANA
Idaho MRM-468 Canceled
This Idaho license was held by III JAMES SAMUEL MONTANA. The license is no longer active. It was granted on 05/02/1996
LICENSE DETAILS
- License Number: MRM-468
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/02/1996 (about 28 years ago)
LOCATIONS
A Residential
1601 S. Lake Ave. Duluth MN 55802