ROBERT SAMUEL DAVIS
Idaho PA-767 Canceled
This Idaho license was held by ROBERT SAMUEL DAVIS. The license is no longer active. It was granted on 09/15/2008 and expired on 08/03/2015
LICENSE DETAILS
- License Number: PA-767
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/15/2008 (over 15 years ago)
- Expiry Date: 08/03/2015 (almost 9 years ago)
LOCATIONS
A Residential
12317 N NINE BARK ROAD Hauser ID 83854