MICHAEL AVILA

Idaho  LRT-444   Canceled

This Idaho license was held by MICHAEL AVILA. The license is no longer active. It was granted on 05/19/1994 and expired on 07/03/2001

LICENSE DETAILS

  • License Number: LRT-444
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 05/19/1994 (about 31 years ago)
  • Expiry Date: 07/03/2001 (almost 24 years ago)

LOCATIONS

A Residential

9334 Kayla Ct Hayden ID 83835