MICHAEL WILLIAM DETAR
Idaho TLM-2325 Upgraded
This Idaho license was held by MICHAEL WILLIAM DETAR. The license is no longer active. It was granted on 08/01/1994
LICENSE DETAILS
- License Number: TLM-2325
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/01/1994 (almost 30 years ago)
LOCATIONS
A Residential
PO Box 3405 SPOKANE WA 99220