PAUL C COLLINS
Idaho DPHY-4426 Canceled
This Idaho license was held by PAUL C COLLINS. The license is no longer active. It was granted on 10/29/2004 and expired on 12/31/2005
LICENSE DETAILS
- License Number: DPHY-4426
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/29/2004 (over 20 years ago)
- Expiry Date: 12/31/2005 (over 19 years ago)
LOCATIONS
A Residential
3875 E Overland Road Meridian ID 83642