JONATHAN PHARIS HUBBARD
Idaho O-204 Canceled
This Idaho license was held by JONATHAN PHARIS HUBBARD. The license is no longer active. It was granted on 06/26/1998 and expired on 06/30/2000
LICENSE DETAILS
- License Number: O-204
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/26/1998 (almost 27 years ago)
- Expiry Date: 06/30/2000 (almost 25 years ago)
LOCATIONS
A Residential
9336 N Kimberly Ln Pocatello ID 83201