LEE ALLEN ANTLES

Idaho  M-5304   Canceled

This Idaho license was held by LEE ALLEN ANTLES. The license is no longer active. It was granted on 10/31/1987 and expired on 07/02/1993

LICENSE DETAILS

  • License Number: M-5304
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 10/31/1987 (over 36 years ago)
  • Expiry Date: 07/02/1993 (almost 31 years ago)

LOCATIONS

A Residential

440 Beacon Hill Dr Hoquiam WA 98550