Idaho
Division of Occupational and Professional Licenses
ANTHONY FREDRICK BUSHNELL
Board Of Medicine
License number
PA-1135
Date granted
11/25/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8417 W Overland Rd Boise ID 83709
idaholicensing.com
ID 48342096
LAST UPDATED 2024-04-27 02:10:27 UTC
LAST UPDATED 2024-04-27 02:10:27 UTC
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