JED ABRAHAM GORDEN
Idaho M-9228 Canceled
This Idaho license was held by JED ABRAHAM GORDEN. The license is no longer active. It was granted on 03/04/2005 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-9228
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/04/2005 (over 20 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Residential
160 E BERKELEY APT 511 BOSTON MA 02118