MICHAEL CLYDE GRAHAM

Idaho  PA-594   Renewed

This Idaho license is held by MICHAEL CLYDE GRAHAM. The license is currently active. It was granted on 12/15/2005 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: PA-594
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 12/15/2005 (over 18 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

1540 PINE CONE RD MOSCOW ID 83843