ROOSEVELT G BRASSEUR
Idaho TLM-1665 Upgraded
This Idaho license was held by ROOSEVELT G BRASSEUR. The license is no longer active. It was granted on 02/17/1987
LICENSE DETAILS
- License Number: TLM-1665
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 02/17/1987 (over 39 years ago)
LOCATIONS
A Residential
10068 Menaul Blvd NE Apt E9 Albuquerque NM 87112