THEODORE JAMES CHASE
Idaho PA-577 Canceled
This Idaho license was held by THEODORE JAMES CHASE. The license is no longer active. It was granted on 10/06/2005 and expired on 08/01/2008
LICENSE DETAILS
- License Number: PA-577
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/06/2005 (over 19 years ago)
- Expiry Date: 08/01/2008 (almost 17 years ago)
LOCATIONS
A Residential
PO BOX 1412 MILES CITY MT 59301