LAURA J POLY
Idaho D-483 Canceled
This Idaho license was held by LAURA J POLY. The license is no longer active. It was granted on 12/09/2005 and expired on 08/01/2008
LICENSE DETAILS
- License Number: D-483
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/09/2005 (over 19 years ago)
- Expiry Date: 08/01/2008 (over 16 years ago)
LOCATIONS
A Residential
300 E Bannock St Boise ID 83712