PHILIP M NELSON
Idaho M-3662 Canceled
This Idaho license was held by PHILIP M NELSON. The license is no longer active. It was granted on 07/18/1977 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-3662
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/18/1977 (almost 48 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
PO Box 212 KETCHUM ID 83340