LUIS GONZAGA TULLOCH
Idaho MRM-1134 Expired
This Idaho license was held by LUIS GONZAGA TULLOCH. The license is no longer active. It was granted on 06/01/2010 and expired on 07/01/2011
LICENSE DETAILS
- License Number: MRM-1134
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 06/01/2010 (almost 15 years ago)
- Expiry Date: 07/01/2011 (almost 14 years ago)
LOCATIONS
A Residential
500 W FORT ST #111 BOISE ID 83702