DAVID CHANNING BRADSHAW
Idaho M-9621 Canceled
This Idaho license was held by DAVID CHANNING BRADSHAW. The license is no longer active. It was granted on 06/09/2006 and expired on 08/01/2012
LICENSE DETAILS
- License Number: M-9621
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/09/2006 (almost 18 years ago)
- Expiry Date: 08/01/2012 (over 11 years ago)
LOCATIONS
A Residential
3520 E. LOUISE DR. MERIDIAN ID 83642