MICHAEL STEVEN ALLEN
Idaho LRT-1109 Canceled
This Idaho license was held by MICHAEL STEVEN ALLEN. The license is no longer active. It was granted on 06/27/2005 and expired on 08/01/2013
LICENSE DETAILS
- License Number: LRT-1109
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/27/2005 (about 20 years ago)
- Expiry Date: 08/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
14045 SW Teal Blvd Apt H Beaverton OR 97008