MR. JOSEPH WAYNE PETRIE
Idaho TLP-022 Upgraded
This Idaho license was held by MR. JOSEPH WAYNE PETRIE. The license is no longer active. It was granted on 11/18/2013
LICENSE DETAILS
- License Number: TLP-022
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/18/2013 (over 11 years ago)
LOCATIONS
A Residential
2001 E. Quail Run Rd EMMETT ID 83617