MS. VIANIE LIZETE MCCABE

Idaho  PGT-099   Canceled

This Idaho license was held by MS. VIANIE LIZETE MCCABE. The license is no longer active. It was granted on 12/05/2012 and expired on 08/03/2015

LICENSE DETAILS

  • License Number: PGT-099
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/05/2012 (over 11 years ago)
  • Expiry Date: 08/03/2015 (over 8 years ago)

LOCATIONS

A Residential

2863 E BOURBON ST MERIDIAN ID 83646