KATAYOUN NESHAT

Idaho  M-7636   Canceled

This Idaho license was held by KATAYOUN NESHAT. The license is no longer active. It was granted on 11/24/1998 and expired on 07/02/1999

LICENSE DETAILS

  • License Number: M-7636
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 11/24/1998 (over 25 years ago)
  • Expiry Date: 07/02/1999 (almost 25 years ago)

LOCATIONS

A Residential

913 E Jefferson St Boise ID 83712