LOREN CAMILLE MACEY
Idaho TLM-3464 Upgraded
This Idaho license was held by LOREN CAMILLE MACEY. The license is no longer active. It was granted on 07/20/2004
LICENSE DETAILS
- License Number: TLM-3464
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/20/2004 (almost 21 years ago)
LOCATIONS
A Residential
190 E Bannock BOISE ID 83712