Idaho
Division of Occupational and Professional Licenses
Dr. BERNADETTE Nina CORUM
Board Of Medicine
License number
M-12028
Date granted
05/30/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
P.O. 717 MISSION RD FORT HALL ID 83203
idaholicensing.com
ID 48361469
LAST UPDATED 2024-04-07 17:53:10 UTC
LAST UPDATED 2024-04-07 17:53:10 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.