LEWIS JOHN MELINE

Idaho  M-7972   Canceled

This Idaho license was held by LEWIS JOHN MELINE. The license is no longer active. It was granted on 04/24/2000 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: M-7972
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 04/24/2000 (about 24 years ago)
  • Expiry Date: 06/30/2003 (almost 21 years ago)

LOCATIONS

A Residential

1441 Parkway Dr Blackfoot ID 83221