(No First Name) M. BRUNDAGE
Idaho M-0279 Canceled
This Idaho license was held by (No First Name) M. BRUNDAGE. The license is no longer active. It was granted on 10/06/1903 and expired on 10/06/1903
LICENSE DETAILS
- License Number: M-0279
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/06/1903 (over 121 years ago)
- Expiry Date: 10/06/1903 (over 121 years ago)
LOCATIONS
A Residential
Rock Springs WY