JEFFREY ALAN BASH

Idaho  LRT-135   Canceled

This Idaho license was held by JEFFREY ALAN BASH. The license is no longer active. It was granted on 12/20/1991 and expired on 07/03/1997

LICENSE DETAILS

  • License Number: LRT-135
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/20/1991 (over 34 years ago)
  • Expiry Date: 07/03/1997 (about 29 years ago)

LOCATIONS

A Residential

2765 Rapid Lightning Rd Sandpoint ID 83864