NATHAN FRANCIS COONROD
Idaho M-5075 Canceled
This Idaho license was held by NATHAN FRANCIS COONROD. The license is no longer active. It was granted on 07/08/1986 and expired on 07/02/1992
LICENSE DETAILS
- License Number: M-5075
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/08/1986 (almost 38 years ago)
- Expiry Date: 07/02/1992 (almost 32 years ago)
LOCATIONS
A Residential
4574 N. MACKENZIE LANE BOISE ID 83703