JAN DEAN LARCOM
Idaho MI-3268 Canceled
This Idaho license was held by JAN DEAN LARCOM. The license is no longer active. It was granted on 07/07/1974 and expired on 07/31/2010
LICENSE DETAILS
- License Number: MI-3268
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/07/1974 (over 50 years ago)
- Expiry Date: 07/31/2010 (over 14 years ago)
LOCATIONS
A Residential
5410 BARNWOOD CT PAHRUMP NV 89061