MAC "D" SMITH
Idaho AT-021 Canceled
This Idaho license was held by MAC "D" SMITH. The license is no longer active. It was granted on 11/01/1989 and expired on 08/01/2011
LICENSE DETAILS
- License Number: AT-021
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/01/1989 (over 34 years ago)
- Expiry Date: 08/01/2011 (almost 13 years ago)
LOCATIONS
A Residential
176 West 1st South Preston ID 83263