LAUREL A KULM
Idaho PSG-028 Canceled
This Idaho license was held by LAUREL A KULM. The license is no longer active. It was granted on 09/19/2006 and expired on 08/01/2009
LICENSE DETAILS
- License Number: PSG-028
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/19/2006 (over 18 years ago)
- Expiry Date: 08/01/2009 (over 15 years ago)
LOCATIONS
A Residential
2090 AVENIDA DE LAS ALTURAS SANTA FE NM 87505