PHILIP WASHBURN

Idaho  M-2594   Canceled

This Idaho license was held by PHILIP WASHBURN. The license is no longer active. It was granted on 01/15/1963 and expired on 01/15/1963

LICENSE DETAILS

  • License Number: M-2594
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 01/15/1963 (over 62 years ago)
  • Expiry Date: 01/15/1963 (over 62 years ago)

LOCATIONS

A Residential

730 E 300 S Springville UT 84663