PAUL FREDERICK BRILLHART
Idaho SPHY-8602 Canceled
This Idaho license was held by PAUL FREDERICK BRILLHART. The license is no longer active. It was granted on 09/14/2002 and expired on 12/31/2006
LICENSE DETAILS
- License Number: SPHY-8602
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/14/2002 (over 22 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Residential
4995 N Tasman Dr Coeur D Alene ID 83815