Idaho
Division of Occupational and Professional Licenses
AMANDA KATHLEEN BONNER
Board Of Medicine
License number
AT-412
Date granted
09/23/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
5372 CONGRESS AVE MADISON WI 53718
idaholicensing.com
ID 48341200
LAST UPDATED 2024-05-11 11:29:58 UTC
LAST UPDATED 2024-05-11 11:29:58 UTC
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