MR. JOSEPH WAYNE PETRIE
Idaho PAT-928 Expired
This Idaho license was held by MR. JOSEPH WAYNE PETRIE. The license is no longer active. It was granted on 09/13/2011 and expired on 08/09/2013
LICENSE DETAILS
- License Number: PAT-928
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/13/2011 (over 12 years ago)
- Expiry Date: 08/09/2013 (almost 11 years ago)
LOCATIONS
A Residential
2001 E. Quail Run Rd EMMETT ID 83617