Idaho
Division of Occupational and Professional Licenses
TANYA BIDSTRUP
Board Of Medicine
License number
PAT-985
Date granted
08/27/2012
Date expires
08/08/2014
Class
Board Of Medicine
Status
Expired
Address
2391 EASTVIEW DR IDAHO FALLS ID 83401
idaholicensing.com
ID 48340727
LAST UPDATED 2024-05-09 12:54:25 UTC
LAST UPDATED 2024-05-09 12:54:25 UTC
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