PAUL EDWARD MACMILLAN
Idaho PAI-676 Canceled
This Idaho license was held by PAUL EDWARD MACMILLAN. The license is no longer active. It was granted on 06/21/2007 and expired on 08/01/2011
LICENSE DETAILS
- License Number: PAI-676
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/21/2007 (almost 17 years ago)
- Expiry Date: 08/01/2011 (over 12 years ago)
LOCATIONS
A Residential
699 KENTUCKY AVE. DILLON MT 59725