J MICHAEL BATEMAN
Idaho M-2986 Canceled
This Idaho license was held by J MICHAEL BATEMAN. The license is no longer active. It was granted on 07/11/1971 and expired on 07/14/2005
LICENSE DETAILS
- License Number: M-2986
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/11/1971 (almost 53 years ago)
- Expiry Date: 07/14/2005 (almost 19 years ago)
LOCATIONS
A Residential
43 Fordhan St Pocatello ID 83201