LE ROY A PESCH MD - Medical Doctor License in Idaho | # 036046698

LE ROY A PESCH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046698

License Status

NOT RENEWED

Business

N

First Name

LE ROY A

Last Name

PESCH

Suffix

MD

Business Name

LE ROY A PESCH MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

07/31/1996

State

ID

Ever Disciplined

N

LastModifiedDate

09/20/2006