TY BOLTON ERICKSON
Idaho SPHYC-0009 Renewed
This Idaho license is held by TY BOLTON ERICKSON. The license is currently active. It was granted on 07/20/2007 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHYC-0009
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 07/20/2007 (almost 17 years ago)
- Expiry Date: 12/31/2016 (over 7 years ago)
LOCATIONS
A Residential
3450 Potomac IDAHO FALLS ID 83404
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