MR. CHANNON WAYNE LARSON
Idaho Board Of Examiners Of Residential Care Facil - Residential Care Facility Administrator
Idaho RCA - 1774 Not Current
This Idaho license was held by MR. CHANNON WAYNE LARSON. The license is no longer active. It was granted on 12/06/2011 and expired on 03/23/2013
LICENSE DETAILS
- License Number: RCA - 1774
- Category: RESIDENTIAL CARE FACILITY ADMINISTRATOR
- Status: Not Current
- Date Granted: 12/06/2011 (over 13 years ago)
- Expiry Date: 03/23/2013 (about 12 years ago)
LOCATIONS
A Address
NEWBERG OR 97132