RICHARD EUGENE CARLSON

Idaho  M-8470   Canceled

This Idaho license was held by RICHARD EUGENE CARLSON. The license is no longer active. It was granted on 04/01/2002

LICENSE DETAILS

  • License Number: M-8470
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 04/01/2002 (about 23 years ago)

LOCATIONS

A Residential

782 S Crosstimber Ave MERIDIAN ID 83642