R DENNIS DAVIS

Idaho  M-3476   Revoked

This Idaho license was held by R DENNIS DAVIS. The license is no longer active. It was granted on 01/13/1976 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: M-3476
  • Category: Board Of Medicine
  • Status: Revoked
  • Date Granted: 01/13/1976 (over 48 years ago)
  • Expiry Date: 06/30/2005 (almost 19 years ago)

LOCATIONS

A Residential

PO Box 242 Sun Valley ID 83353