BRUCE WILLIAM BEAUCHAMP

Idaho  O-198   Canceled

This Idaho license was held by BRUCE WILLIAM BEAUCHAMP. The license is no longer active. It was granted on 02/19/1998 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: O-198
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 02/19/1998 (about 27 years ago)
  • Expiry Date: 06/30/2005 (almost 20 years ago)

LOCATIONS

A Residential

2521 Delores Ln North Bend OR 97459