MARTIN RANDAL TUBACH
Idaho TLM-2941 Upgraded
This Idaho license was held by MARTIN RANDAL TUBACH. The license is no longer active. It was granted on 06/14/2000
LICENSE DETAILS
- License Number: TLM-2941
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/14/2000 (almost 24 years ago)
LOCATIONS
A Residential
6052 WEST STATE STREET BOISE ID 83703