JERRY BLAKE ALLRED
Idaho LRT-096 Canceled
This Idaho license was held by JERRY BLAKE ALLRED. The license is no longer active. It was granted on 11/22/1991 and expired on 06/30/2003
LICENSE DETAILS
- License Number: LRT-096
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/22/1991 (over 33 years ago)
- Expiry Date: 06/30/2003 (about 22 years ago)
LOCATIONS
A Residential
1106 Alder Ave Lewiston ID 83501