BRYAN KEITH BADE
Idaho PGT-001 Canceled
This Idaho license was held by BRYAN KEITH BADE. The license is no longer active. It was granted on 12/18/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: PGT-001
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/18/2003 (over 21 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Residential
1620 S 26th Street Nampa ID 83686