Idaho
Division of Occupational and Professional Licenses
BETHANY JOLENE ERICSON
Board Of Medicine
License number
D-778
Date granted
08/07/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
7200 SILVER CHARM ST NAMPA ID 83686
idaholicensing.com
ID 48344467
LAST UPDATED 2024-04-18 14:20:17 UTC
LAST UPDATED 2024-04-18 14:20:17 UTC
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