MATT DAVID CHARLTON
Idaho PAT-876 Expired
This Idaho license was held by MATT DAVID CHARLTON. The license is no longer active. It was granted on 06/14/2011 and expired on 07/31/2011
LICENSE DETAILS
- License Number: PAT-876
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 06/14/2011 (almost 13 years ago)
- Expiry Date: 07/31/2011 (almost 13 years ago)
LOCATIONS
A Residential
320 WARNER DRIVE LEWISTON ID 83501