PETER WADE BEALL
Idaho M-5512 Canceled
This Idaho license was held by PETER WADE BEALL. The license is no longer active. It was granted on 05/23/1989 and expired on 06/30/2003
LICENSE DETAILS
- License Number: M-5512
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/23/1989 (almost 35 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Residential
2631 16th St Clarkston WA 99403