PURITA Z VILLANUEVA
Idaho MI-5082 Canceled
This Idaho license was held by PURITA Z VILLANUEVA. The license is no longer active. It was granted on 07/11/1986 and expired on 08/01/2008
LICENSE DETAILS
- License Number: MI-5082
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/11/1986 (almost 39 years ago)
- Expiry Date: 08/01/2008 (almost 17 years ago)
LOCATIONS
A Residential
3113 Clayton Rd Concord CA 94519