License holder summary

JAN MARIE BRADBERRY is a Board Of Medicine licensed to practice in Idaho. The address on file for JAN MARIE BRADBERRY is 3263 Chickory Way Boise ID 83706. This licensed professional license is not current. The license was granted 09/13/1996 and expired on 07/03/1997.

Idaho

Division of Occupational and Professional Licenses

JAN MARIE BRADBERRY
Board Of Medicine
License number
LRT-576
Date granted
09/13/1996
Date expires
07/03/1997
Class
Board Of Medicine
Status
Canceled
Address
3263 Chickory Way Boise ID 83706
idaholicensing.com
ID 48329789
LAST UPDATED 2024-03-27 19:15:04 UTC

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