RAY WILLIAM HANSON
Idaho SPHY-9006 Canceled
This Idaho license was held by RAY WILLIAM HANSON. The license is no longer active. It was granted on 07/27/2005 and expired on 02/01/2012
LICENSE DETAILS
- License Number: SPHY-9006
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/27/2005 (almost 19 years ago)
- Expiry Date: 02/01/2012 (over 12 years ago)
LOCATIONS
A Residential
144 E 400N BLACKFOOT ID 83221