SANDRA BIRCH
Idaho D-365 Canceled
This Idaho license was held by SANDRA BIRCH. The license is no longer active. It was granted on 06/07/2001 and expired on 08/01/2014
LICENSE DETAILS
- License Number: D-365
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/07/2001 (almost 24 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
804 Paquerette Court Manchester MO 63021