LEWIS CLAY WEAVER

Idaho  M-6999   Canceled

This Idaho license was held by LEWIS CLAY WEAVER. The license is no longer active. It was granted on 06/01/1996 and expired on 07/02/1997

LICENSE DETAILS

  • License Number: M-6999
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 06/01/1996 (almost 29 years ago)
  • Expiry Date: 07/02/1997 (almost 28 years ago)

LOCATIONS

A Residential

23206 E Boone Ave Liberty Lake WA 99019