PHILIP N LEAVITT

Idaho  M-2325   Canceled

This Idaho license was held by PHILIP N LEAVITT. The license is no longer active. It was granted on 07/09/1956 and expired on 06/30/2000

LICENSE DETAILS

  • License Number: M-2325
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 07/09/1956 (almost 68 years ago)
  • Expiry Date: 06/30/2000 (almost 24 years ago)

LOCATIONS

A Residential

8535 S 15 W Idaho Falls ID 83402