JAN PATRICIA KOVACH
Idaho M-9113 Canceled
This Idaho license was held by JAN PATRICIA KOVACH. The license is no longer active. It was granted on 08/27/2004 and expired on 08/01/2008
LICENSE DETAILS
- License Number: M-9113
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/27/2004 (over 20 years ago)
- Expiry Date: 08/01/2008 (over 16 years ago)
LOCATIONS
A Residential
PO BOX 32046 SANTA FE NM 87594