THOMAS WAYNE PENDERGRASS
Idaho TLM-2562 Upgraded
This Idaho license was held by THOMAS WAYNE PENDERGRASS. The license is no longer active. It was granted on 09/22/1996
LICENSE DETAILS
- License Number: TLM-2562
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 09/22/1996 (over 28 years ago)
LOCATIONS
A Residential
13410 98th Ave. NE Kirkland WA 98034