JERRY HARVEY TITEL
Idaho M-5453 Canceled
This Idaho license was held by JERRY HARVEY TITEL. The license is no longer active. It was granted on 10/24/1988 and expired on 08/01/2011
LICENSE DETAILS
- License Number: M-5453
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/24/1988 (over 37 years ago)
- Expiry Date: 08/01/2011 (almost 15 years ago)
LOCATIONS
A Residential
4392 BLUEHOUSE LN ALPHARETTA GA 30022