PURITA Z VILLANUEVA

Idaho  M-5082   Active

This Idaho license is held by PURITA Z VILLANUEVA. The license is currently active. It was granted on 07/11/1986 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: M-5082
  • Category: Board Of Medicine
  • Status: Active
  • Date Granted: 07/11/1986 (almost 39 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Residential

3113 Clayton Rd Concord CA 94519