PAUL MICHAEL FORD
Idaho LRT-989 Canceled
This Idaho license was held by PAUL MICHAEL FORD. The license is no longer active. It was granted on 03/12/2003 and expired on 08/01/2008
LICENSE DETAILS
- License Number: LRT-989
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/12/2003 (about 22 years ago)
- Expiry Date: 08/01/2008 (over 16 years ago)
LOCATIONS
A Residential
2718 Balboa Dr. Idaho Falls ID 83403