JOHN WILLIAM FORAGE

Idaho  M-8075   Canceled

This Idaho license was held by JOHN WILLIAM FORAGE. The license is no longer active. It was granted on 09/09/2000 and expired on 06/30/2004

LICENSE DETAILS

  • License Number: M-8075
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 09/09/2000 (over 24 years ago)
  • Expiry Date: 06/30/2004 (almost 21 years ago)

LOCATIONS

A Residential

2315 8th St Lewiston ID 83501