KEVIN STAPLES ISEMAN
Idaho PAI-548 Canceled
This Idaho license was held by KEVIN STAPLES ISEMAN. The license is no longer active. It was granted on 03/16/2005 and expired on 08/01/2008
LICENSE DETAILS
- License Number: PAI-548
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/16/2005 (over 19 years ago)
- Expiry Date: 08/01/2008 (almost 16 years ago)
LOCATIONS
A Residential
611 E 60 S PRESTON ID 83263