JOHN E LILJENQUIST

Idaho  SPHY-4220   Canceled

This Idaho license was held by JOHN E LILJENQUIST. The license is no longer active. It was granted on 11/22/1980 and expired on 01/31/2010

LICENSE DETAILS

  • License Number: SPHY-4220
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 11/22/1980 (over 43 years ago)
  • Expiry Date: 01/31/2010 (about 14 years ago)

LOCATIONS

A Residential

3910 WASHINGTON PARKWAY IDAHO FALLS ID 83404