BRUCE KEITH MIEWALD
Idaho M-5751 Renewed
This Idaho license is held by BRUCE KEITH MIEWALD. The license is currently active. It was granted on 09/24/1990 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-5751
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/24/1990 (over 34 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
2301 Ironwood Pl. COEUR D ALENE ID 83814
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