MICAH JOHN THAYN
Idaho PAT-1025 Expired
This Idaho license was held by MICAH JOHN THAYN. The license is no longer active. It was granted on 08/27/2012 and expired on 08/08/2014
LICENSE DETAILS
- License Number: PAT-1025
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 08/27/2012 (over 12 years ago)
- Expiry Date: 08/08/2014 (over 10 years ago)
LOCATIONS
A Residential
921 W CLARK POCATELLO ID 83204