TERRY J DIETRICH
Idaho M-5046 Canceled
This Idaho license was held by TERRY J DIETRICH. The license is no longer active. It was granted on 03/07/1986
LICENSE DETAILS
- License Number: M-5046
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/07/1986 (about 38 years ago)
LOCATIONS
A Residential
Hospital Bella Vista MAYAGUEZ PR 00681