LEE WALTER GOULD MD - Medical Doctor License in Idaho | # 036054996

LEE WALTER GOULD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054996

License Status

INACTIVE

Business

N

First Name

LEE WALTER

Last Name

GOULD

Suffix

MD

Business Name

LEE WALTER GOULD MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1987

State

ID

Ever Disciplined

N

LastModifiedDate

09/20/2006