MATT DAVID CHARLTON
Idaho PA-959 Canceled
This Idaho license was held by MATT DAVID CHARLTON. The license is no longer active. It was granted on 12/28/2011 and expired on 08/01/2013
LICENSE DETAILS
- License Number: PA-959
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/28/2011 (over 13 years ago)
- Expiry Date: 08/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
320 WARNER DRIVE LEWISTON ID 83501