JACK TRAVIS KING
Idaho LRT-830 Canceled
This Idaho license was held by JACK TRAVIS KING. The license is no longer active. It was granted on 09/14/2000 and expired on 06/30/2007
LICENSE DETAILS
- License Number: LRT-830
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/14/2000 (over 23 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Residential
109 MARY DR ELK CITY OK 73644