TRAVIS LEE PAGE
Idaho MRM-754 Canceled
This Idaho license was held by TRAVIS LEE PAGE. The license is no longer active. It was granted on 06/30/2003 and expired on 09/02/2004
LICENSE DETAILS
- License Number: MRM-754
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/30/2003 (almost 22 years ago)
- Expiry Date: 09/02/2004 (over 20 years ago)
LOCATIONS
A Residential
2523 S 10th Ave #103 Caldwell ID 83605