JOHN LEE ELLIS
Idaho LRT-1107 Renewed
This Idaho license is held by JOHN LEE ELLIS. The license is currently active. It was granted on 06/23/2005 and expired on 06/30/2017
LICENSE DETAILS
- License Number: LRT-1107
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 06/23/2005 (about 21 years ago)
- Expiry Date: 06/30/2017 (about 9 years ago)
LOCATIONS
A Residential
3125 N Ustick Circle Boise ID 83704
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