JOHN NICHOLAS GIETZEN
Idaho SPHY-125 Canceled
This Idaho license was held by JOHN NICHOLAS GIETZEN. The license is no longer active. It was granted on 12/10/1992 and expired on 12/31/2004
LICENSE DETAILS
- License Number: SPHY-125
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/10/1992 (over 32 years ago)
- Expiry Date: 12/31/2004 (over 20 years ago)
LOCATIONS
A Residential
3422 S 15th E Idaho Falls ID 83406