PATRICIO HERNAN MUJICA
Idaho M-7976 Canceled
This Idaho license was held by PATRICIO HERNAN MUJICA. The license is no longer active. It was granted on 04/30/2000 and expired on 06/30/2002
LICENSE DETAILS
- License Number: M-7976
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/30/2000 (over 26 years ago)
- Expiry Date: 06/30/2002 (about 24 years ago)
LOCATIONS
A Residential
12 High St Ste 401 Lewiston ME 04240