SHANE MATTEW PRATT
Idaho RTS-319 Expired
This Idaho license was held by SHANE MATTEW PRATT. The license is no longer active. It was granted on 08/09/2010 and expired on 11/01/2011
LICENSE DETAILS
- License Number: RTS-319
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 08/09/2010 (over 14 years ago)
- Expiry Date: 11/01/2011 (over 13 years ago)
LOCATIONS
A Residential
15616 VENUS CT CALDWELL ID 83607