PHILIP J GRIMM
Idaho MI-4135 Canceled
This Idaho license was held by PHILIP J GRIMM. The license is no longer active. It was granted on 01/11/1980 and expired on 08/01/2014
LICENSE DETAILS
- License Number: MI-4135
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/11/1980 (over 44 years ago)
- Expiry Date: 08/01/2014 (almost 10 years ago)
LOCATIONS
A Residential
PO Box 619 ROGUE RIVER OR 97537