MASUMI UEDA

Idaho  MRM-1189   Expired

This Idaho license was held by MASUMI UEDA. The license is no longer active. It was granted on 06/24/2011 and expired on 06/30/2012

LICENSE DETAILS

  • License Number: MRM-1189
  • Category: Board Of Medicine
  • Status: Expired
  • Date Granted: 06/24/2011 (about 13 years ago)
  • Expiry Date: 06/30/2012 (about 12 years ago)

LOCATIONS

A Residential

815 W LEMP ST APT 1 BOISE ID 83702