MATTHEW CHAD BANKS
Idaho TLP-063 Upgraded
This Idaho license was held by MATTHEW CHAD BANKS. The license is no longer active. It was granted on 06/20/2016
LICENSE DETAILS
- License Number: TLP-063
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/20/2016 (almost 9 years ago)
LOCATIONS
A Residential
355 HOUND ST MORGAN UT 84050