TODD ELRAY STANFORD
Idaho PA-404 Canceled
This Idaho license was held by TODD ELRAY STANFORD. The license is no longer active. It was granted on 08/16/2002 and expired on 06/30/2003
LICENSE DETAILS
- License Number: PA-404
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/16/2002 (over 22 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Residential
1622 Buffalo Trail Dr Henderson NV 89014