MARK JOSEPH MICHAUD
Idaho TLM-3241 Upgraded
This Idaho license was held by MARK JOSEPH MICHAUD. The license is no longer active. It was granted on 08/14/2002
LICENSE DETAILS
- License Number: TLM-3241
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/14/2002 (almost 22 years ago)
LOCATIONS
A Residential
1907 BROADWAY AVE #101 BOISE ID 83706