RANDY GERALD ROBERG
Idaho AT-410 Canceled
This Idaho license was held by RANDY GERALD ROBERG. The license is no longer active. It was granted on 09/07/2011 and expired on 08/01/2012
LICENSE DETAILS
- License Number: AT-410
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/07/2011 (almost 15 years ago)
- Expiry Date: 08/01/2012 (almost 14 years ago)
LOCATIONS
A Residential
3807 E LAUREL RD CHATTAROY WA 99003