AMANDA KATHLEEN BONNER
Idaho AT-412 Canceled
This Idaho license was held by AMANDA KATHLEEN BONNER. The license is no longer active. It was granted on 09/23/2011 and expired on 08/01/2013
LICENSE DETAILS
- License Number: AT-412
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/23/2011 (almost 13 years ago)
- Expiry Date: 08/01/2013 (almost 11 years ago)
LOCATIONS
A Residential
5372 CONGRESS AVE MADISON WI 53718