JOHN (JACK) KENT DAVIS
Idaho SPHY-112 Canceled
This Idaho license was held by JOHN (JACK) KENT DAVIS. The license is no longer active. It was granted on 06/18/1992
LICENSE DETAILS
- License Number: SPHY-112
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/18/1992 (almost 33 years ago)
LOCATIONS
A Residential
519 S 19TH AVE POCATELLO ID 83201