TYLER CARNAHAN DIXON
Idaho O-0455 Canceled
This Idaho license was held by TYLER CARNAHAN DIXON. The license is no longer active. It was granted on 08/21/2007 and expired on 08/01/2016
LICENSE DETAILS
- License Number: O-0455
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/21/2007 (over 17 years ago)
- Expiry Date: 08/01/2016 (over 8 years ago)
LOCATIONS
A Residential
150 North 200 West Malad City ID 83252