MICHAEL C MINICK
Idaho TLM-1483 Upgraded
This Idaho license was held by MICHAEL C MINICK. The license is no longer active. It was granted on 11/06/1984
LICENSE DETAILS
- License Number: TLM-1483
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/06/1984 (over 40 years ago)
LOCATIONS
A Residential
1319 7TH ST LEWISTON ID 83501