JASON DEAN EATOUGH
Idaho PA-509 Canceled
This Idaho license was held by JASON DEAN EATOUGH. The license is no longer active. It was granted on 09/17/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: PA-509
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/17/2004 (over 20 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Residential
700 Caldwell Blvd. Nampa ID 83651