SUSAN KAY TATUM
Idaho D-505 Canceled
This Idaho license was held by SUSAN KAY TATUM. The license is no longer active. It was granted on 08/15/2006 and expired on 08/01/2012
LICENSE DETAILS
- License Number: D-505
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/15/2006 (over 18 years ago)
- Expiry Date: 08/01/2012 (over 12 years ago)
LOCATIONS
A Residential
3990 S 20E WASHINGTON UT 84780