SIDNEY THOMAS VAN ASSCHE
Idaho M-6769 Canceled
This Idaho license was held by SIDNEY THOMAS VAN ASSCHE. The license is no longer active. It was granted on 06/23/1995 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-6769
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/23/1995 (almost 29 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Residential
2645 W 4000 S Roy UT 84067