TANNER ROBERT GRONOWSKI
Idaho MSO-0012 Expired
This Idaho license was held by TANNER ROBERT GRONOWSKI. The license is no longer active. It was granted on 07/01/2011 and expired on 07/01/2013
LICENSE DETAILS
- License Number: MSO-0012
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 07/01/2011 (almost 13 years ago)
- Expiry Date: 07/01/2013 (almost 11 years ago)
LOCATIONS
A Residential
2725 GREYSTONE EAGLE ID 83616