LUCY ELIZABETH MODAHL
Idaho M-9541 Canceled
This Idaho license was held by LUCY ELIZABETH MODAHL. The license is no longer active. It was granted on 03/20/2006 and expired on 08/01/2013
LICENSE DETAILS
- License Number: M-9541
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/20/2006 (about 19 years ago)
- Expiry Date: 08/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
2 MARLBOROUGH ST AUCKLAND 1024