ROD DELANE KACK
Idaho TLM-2480 Upgraded
This Idaho license was held by ROD DELANE KACK. The license is no longer active. It was granted on 10/13/1995
LICENSE DETAILS
- License Number: TLM-2480
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 10/13/1995 (over 28 years ago)
LOCATIONS
A Residential
706 N COLLEGE RD STE C TWIN FALLS ID 83301