License holder summary

GLEN LEWIS SUBLETTE is a Board Of Medicine licensed to practice in Idaho. The address on file for GLEN LEWIS SUBLETTE is 401 S Alabama St Butte MT 59701. This licensed professional license is not current. The license was granted 08/11/1990 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

GLEN LEWIS SUBLETTE
Board Of Medicine
License number
M-5717
Date granted
08/11/1990
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
401 S Alabama St Butte MT 59701
idaholicensing.com
ID 48341078
LAST UPDATED 2024-01-22 01:38:18 UTC

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