MICHAEL JOSEPH DECKER
Idaho TLM-2725 Upgraded
This Idaho license was held by MICHAEL JOSEPH DECKER. The license is no longer active. It was granted on 04/06/1998
LICENSE DETAILS
- License Number: TLM-2725
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 04/06/1998 (about 27 years ago)
LOCATIONS
A Residential
1909 FOREST VW PRESCOTT AZ 86305