OMAR ESTIVILL
Idaho O-100 Canceled
This Idaho license was held by OMAR ESTIVILL. The license is no longer active. It was granted on 06/14/1991 and expired on 07/02/1997
LICENSE DETAILS
- License Number: O-100
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/14/1991 (almost 34 years ago)
- Expiry Date: 07/02/1997 (almost 28 years ago)
LOCATIONS
A Residential
8 Judy Lane Scotch Plains NJ 07076