TERRANCE CHARLES TISDALE
Idaho TLM-3068 Upgraded
This Idaho license was held by TERRANCE CHARLES TISDALE. The license is no longer active. It was granted on 07/27/2001
LICENSE DETAILS
- License Number: TLM-3068
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/27/2001 (almost 23 years ago)
LOCATIONS
A Residential
750 SYRINGA, SUITE 101 POST FALLS ID 83854