JAYSON MASAYUKI WATABE
Idaho PAT-1029 Expired
This Idaho license was held by JAYSON MASAYUKI WATABE. The license is no longer active. It was granted on 08/27/2012 and expired on 08/08/2014
LICENSE DETAILS
- License Number: PAT-1029
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 08/27/2012 (over 11 years ago)
- Expiry Date: 08/08/2014 (over 9 years ago)
LOCATIONS
A Residential
651 N 13TH AVE APT B POCATELLO ID 83201