LISA ANNE JOHNATAKIS
Idaho LRT-1327 Canceled
This Idaho license was held by LISA ANNE JOHNATAKIS. The license is no longer active. It was granted on 07/14/2008 and expired on 08/01/2016
LICENSE DETAILS
- License Number: LRT-1327
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/14/2008 (almost 16 years ago)
- Expiry Date: 08/01/2016 (over 7 years ago)
LOCATIONS
A Residential
1595 E PEACOCK ST MERIDIAN ID 83642