NATHAN WAYNE LONG
Idaho TLM-3616 Upgraded
This Idaho license was held by NATHAN WAYNE LONG. The license is no longer active. It was granted on 08/09/2005
LICENSE DETAILS
- License Number: TLM-3616
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/09/2005 (almost 19 years ago)
LOCATIONS
A Residential
7252 HIGHWAY 70 S APT 1302 NASHVILLE TN 37221