ROGER DAVID CUSHMAN
Idaho PA-719 Canceled
This Idaho license was held by ROGER DAVID CUSHMAN. The license is no longer active. It was granted on 10/31/2007 and expired on 08/01/2013
LICENSE DETAILS
- License Number: PA-719
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/31/2007 (over 17 years ago)
- Expiry Date: 08/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
2055 IRENE LANE IDAHO FALLS ID 83404