JEANNINE T WALTERS
Idaho SPHY-0271 Canceled
This Idaho license was held by JEANNINE T WALTERS. The license is no longer active. It was granted on 08/05/2005 and expired on 02/01/2012
LICENSE DETAILS
- License Number: SPHY-0271
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/05/2005 (almost 21 years ago)
- Expiry Date: 02/01/2012 (over 14 years ago)
LOCATIONS
A Residential
1951 Wood Duck Lane BOISE ID 83706