LISA ANNE JOHNATAKIS
Idaho RTS-136 Expired
This Idaho license was held by LISA ANNE JOHNATAKIS. The license is no longer active. It was granted on 01/08/2008 and expired on 05/31/2008
LICENSE DETAILS
- License Number: RTS-136
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 01/08/2008 (over 16 years ago)
- Expiry Date: 05/31/2008 (almost 16 years ago)
LOCATIONS
A Residential
1595 E PEACOCK ST MERIDIAN ID 83642