KARL LEE BREITENBACH
Idaho M-4977 Canceled
This Idaho license was held by KARL LEE BREITENBACH. The license is no longer active. It was granted on 09/03/1985 and expired on 07/01/1985
LICENSE DETAILS
- License Number: M-4977
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/03/1985 (over 38 years ago)
- Expiry Date: 07/01/1985 (almost 39 years ago)
LOCATIONS
A Residential
1127 E. 4100 S. Ogden UT 84403