KENNETH WEAVER
Idaho M-5106 Canceled
This Idaho license was held by KENNETH WEAVER. The license is no longer active. It was granted on 07/11/1986 and expired on 06/30/1988
LICENSE DETAILS
- License Number: M-5106
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/11/1986 (almost 38 years ago)
- Expiry Date: 06/30/1988 (almost 36 years ago)
LOCATIONS
A Residential
Suite 6, 311 Princeton Road Johnson City TN 37601