ROOSEVELT G BRASSEUR
Idaho M-5202 Canceled
This Idaho license was held by ROOSEVELT G BRASSEUR. The license is no longer active. It was granted on 02/28/1987 and expired on 06/30/2001
LICENSE DETAILS
- License Number: M-5202
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/28/1987 (over 39 years ago)
- Expiry Date: 06/30/2001 (about 25 years ago)
LOCATIONS
A Residential
10068 Menaul Blvd NE Apt E9 Albuquerque NM 87112