MARY F BERGUM
Idaho MRM-694 Canceled
This Idaho license was held by MARY F BERGUM. The license is no longer active. It was granted on 12/10/2001
LICENSE DETAILS
- License Number: MRM-694
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/10/2001 (over 22 years ago)
LOCATIONS
A Residential
FAMILY MEDICINE SPOKANE SPOKANE WA 99201