STEVEN ROBERT QUACKENBUSH
Idaho TLM-2107 Upgraded
This Idaho license was held by STEVEN ROBERT QUACKENBUSH. The license is no longer active. It was granted on 09/04/1992
LICENSE DETAILS
- License Number: TLM-2107
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 09/04/1992 (over 31 years ago)
LOCATIONS
A Residential
Rt. 4 Box 78 Ottumwa IA 52501