License holder summary

BERT CLAIR ELIASON is a Board Of Medicine licensed to practice in Idaho. The address on file for BERT CLAIR ELIASON is 4185 LEIGH LN ALTA WY 83414. This licensed professional license is not current. The license was granted 06/09/2006 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

BERT CLAIR ELIASON
Board Of Medicine
License number
M-9622
Date granted
06/09/2006
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
4185 LEIGH LN ALTA WY 83414
idaholicensing.com
ID 48337801
LAST UPDATED 2024-03-31 10:15:48 UTC

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