LAWRENCE STEPHEN KOONS
Idaho M-6694 Canceled
This Idaho license was held by LAWRENCE STEPHEN KOONS. The license is no longer active. It was granted on 03/04/1995 and expired on 07/01/1968
LICENSE DETAILS
- License Number: M-6694
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/04/1995 (about 30 years ago)
- Expiry Date: 07/01/1968 (almost 57 years ago)
LOCATIONS
A Residential
763 Lawrence Ave Westfield NJ 07090