STEPHEN THOMAS BUSHI
Idaho SPHY-5492 Canceled
This Idaho license was held by STEPHEN THOMAS BUSHI. The license is no longer active. It was granted on 07/29/2011 and expired on 02/01/2016
LICENSE DETAILS
- License Number: SPHY-5492
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/29/2011 (almost 14 years ago)
- Expiry Date: 02/01/2016 (over 9 years ago)
LOCATIONS
A Residential
1902 JUDITH LN STE 110 BOISE ID 83705