JACK LAWRENCE UNDERWOOD
Idaho M-8958 Canceled
This Idaho license was held by JACK LAWRENCE UNDERWOOD. The license is no longer active. It was granted on 12/06/2003 and expired on 06/30/2004
LICENSE DETAILS
- License Number: M-8958
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/06/2003 (over 20 years ago)
- Expiry Date: 06/30/2004 (about 20 years ago)
LOCATIONS
A Residential
1565 Union Street Schenectady NY 12309