License holder summary

MR. CHANNON WAYNE LARSON is a Idaho Board Of Examiners Of Residential Care Facil - Residential Care Facility Administrator licensed to practice in Idaho. The address on file for MR. CHANNON WAYNE LARSON is NEWBERG OR 97132. This licensed professional license is not current. The license was granted 12/06/2011 and expired on 03/23/2013.

Idaho

Division of Occupational and Professional Licenses

MR. CHANNON WAYNE LARSON
Idaho Board Of Examiners Of Residential Care Facil - Residential Care Facility Administrator
License number
RCA - 1774
Date granted
12/06/2011
Date expires
03/23/2013
Class
Idaho Board Of Examiners Of Residential Care Facil - Residential Care Facility Administrator
Status
Not Current
Address
NEWBERG OR 97132
idaholicensing.com
ID 19689908
LAST UPDATED 2024-03-21 00:39:11 UTC

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