JACQUELINE WILHELMINA WALTER
Idaho M-8597 Deceased
This Idaho license was held by JACQUELINE WILHELMINA WALTER. The license is no longer active. It was granted on 09/14/2002 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-8597
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 09/14/2002 (over 21 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Residential
13012 Rover Ave NE Albuquerque NM 87112