BRIAN EDWARD GRANVALL
Idaho PA-1042 Renewed
This Idaho license is held by BRIAN EDWARD GRANVALL. The license is currently active. It was granted on 12/28/2012 and expired on 06/30/2018
LICENSE DETAILS
- License Number: PA-1042
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/28/2012 (over 11 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
190 E BANNOCK BOISE ID 83712
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