Dr. BRIAN Keith BARSTAD
Idaho M-11755 Canceled
This Idaho license was held by Dr. BRIAN Keith BARSTAD. The license is no longer active. It was granted on 08/28/2012 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-11755
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/28/2012 (over 12 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
177 Minneapolis Beach Road Chelan WA 98816