TYLER CARNAHAN DIXON
Idaho SPHY-0455 Canceled
This Idaho license was held by TYLER CARNAHAN DIXON. The license is no longer active. It was granted on 09/04/2009 and expired on 02/01/2016
LICENSE DETAILS
- License Number: SPHY-0455
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/04/2009 (over 15 years ago)
- Expiry Date: 02/01/2016 (about 9 years ago)
LOCATIONS
A Residential
150 North 200 West Malad City ID 83252