LUKE ADAM POULTER
Idaho MSM-0187 Expired
This Idaho license was held by LUKE ADAM POULTER. The license is no longer active. It was granted on 06/29/2012 and expired on 06/29/2013
LICENSE DETAILS
- License Number: MSM-0187
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 06/29/2012 (almost 12 years ago)
- Expiry Date: 06/29/2013 (almost 11 years ago)
LOCATIONS
A Residential
535 COMMANCHE DR REXBURG ID 83440