License holder summary

BRUCE WAYNE CANNON is a Board Of Medicine licensed to practice in Idaho. The address on file for BRUCE WAYNE CANNON is 118 FORESTVIEW DR BECKLEY WV 25801. This licensed professional license is not current. The license was granted 05/11/2006 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

BRUCE WAYNE CANNON
Board Of Medicine
License number
O-0403
Date granted
05/11/2006
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
118 FORESTVIEW DR BECKLEY WV 25801
idaholicensing.com
ID 48342316
LAST UPDATED 2024-04-02 11:38:59 UTC

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