Dr. BRUCE Douglas BANWART
Idaho M-11930 Canceled
This Idaho license was held by Dr. BRUCE Douglas BANWART. The license is no longer active. It was granted on 03/07/2013 and expired on 06/30/2016
LICENSE DETAILS
- License Number: M-11930
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/07/2013 (over 11 years ago)
- Expiry Date: 06/30/2016 (almost 8 years ago)
LOCATIONS
A Residential
1401 W 50TH STREET KANSAS CITY MO 64112