JUAN JOSE LEON DE LOS RIOS

Idaho  TLM-3685   Upgraded

This Idaho license was held by JUAN JOSE LEON DE LOS RIOS. The license is no longer active. It was granted on 11/30/2005

LICENSE DETAILS

  • License Number: TLM-3685
  • Category: Board Of Medicine
  • Status: Upgraded
  • Date Granted: 11/30/2005 (over 18 years ago)

LOCATIONS

A Residential

9927 w gibson jack rd Pocatello ID 83204