PATRICIA ANNE BAGLEY
Idaho RPA-107 Canceled
This Idaho license was held by PATRICIA ANNE BAGLEY. The license is no longer active. It was granted on 08/10/1992 and expired on 07/05/1994
LICENSE DETAILS
- License Number: RPA-107
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/10/1992 (over 31 years ago)
- Expiry Date: 07/05/1994 (almost 30 years ago)
LOCATIONS
A Residential
750 Upper Line St. #11 La Grange TX 78945