LEWIS CLAY WEAVER
Idaho TLM-2507 Upgraded
This Idaho license was held by LEWIS CLAY WEAVER. The license is no longer active. It was granted on 02/28/1996
LICENSE DETAILS
- License Number: TLM-2507
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 02/28/1996 (over 30 years ago)
LOCATIONS
A Residential
23206 E Boone Ave Liberty Lake WA 99019