JACQUELINE WILHELMINA WALTER
Idaho TLM-3200 Upgraded
This Idaho license was held by JACQUELINE WILHELMINA WALTER. The license is no longer active. It was granted on 06/04/2002
LICENSE DETAILS
- License Number: TLM-3200
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/04/2002 (over 24 years ago)
LOCATIONS
A Residential
13012 Rover Ave NE Albuquerque NM 87112