THOMAS WAYNE PENDERGRASS
Idaho M-7145 Canceled
This Idaho license was held by THOMAS WAYNE PENDERGRASS. The license is no longer active. It was granted on 12/07/1996 and expired on 07/02/1997
LICENSE DETAILS
- License Number: M-7145
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/07/1996 (over 28 years ago)
- Expiry Date: 07/02/1997 (almost 28 years ago)
LOCATIONS
A Residential
13410 98th Ave. NE Kirkland WA 98034