License holder summary

ABBY JAN GUSTAVESON is a Board Of Medicine licensed to practice in Idaho. The address on file for ABBY JAN GUSTAVESON is 957 Hospital Way Pocatello ID 83201. This licensed professional license is current. The license was granted 12/17/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ABBY JAN GUSTAVESON
Board Of Medicine
License number
D-795
Date granted
12/17/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
957 Hospital Way Pocatello ID 83201
idaholicensing.com
ID 48339180
LAST UPDATED 2024-03-07 08:01:13 UTC

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