THEODORE D. SANFORD
Idaho M-5101 Deceased
This Idaho license was held by THEODORE D. SANFORD. The license is no longer active. It was granted on 07/11/1986
LICENSE DETAILS
- License Number: M-5101
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 07/11/1986 (almost 38 years ago)
LOCATIONS
A Residential
1047 Park Ashland OR 97520