JORDAN ELIZABETH PRAYTOR
Idaho PAT-1054 Expired
This Idaho license was held by JORDAN ELIZABETH PRAYTOR. The license is no longer active. It was granted on 02/08/2013 and expired on 08/31/2013
LICENSE DETAILS
- License Number: PAT-1054
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 02/08/2013 (about 12 years ago)
- Expiry Date: 08/31/2013 (over 11 years ago)
LOCATIONS
A Residential
522 NE SKIDMORE ST PORTLAND OR 97211