RYAN LEWIS VAN DE GRAAFF

Idaho  SPHY-10288   Renewed

This Idaho license is held by RYAN LEWIS VAN DE GRAAFF. The license is currently active. It was granted on 04/19/2012 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: SPHY-10288
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 04/19/2012 (about 12 years ago)
  • Expiry Date: 12/31/2016 (over 7 years ago)

LOCATIONS

A Residential

900 N LIBERTY ST SUITE 400 BOISE ID 83704