ROBERT M. BATHURST
Idaho M-4602 Canceled
This Idaho license was held by ROBERT M. BATHURST. The license is no longer active. It was granted on 03/04/1983 and expired on 07/02/1991
LICENSE DETAILS
- License Number: M-4602
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/04/1983 (about 42 years ago)
- Expiry Date: 07/02/1991 (almost 34 years ago)
LOCATIONS
A Residential
Box 1206 Wisconsin Rapids WI 54495