License holder summary

BONITA K VESTAL is a Board Of Medicine licensed to practice in Idaho. The address on file for BONITA K VESTAL is 1613 N. 20th St. BOISE ID 83702. This licensed professional license is not current. The license was granted 10/30/1977.

Idaho

Division of Occupational and Professional Licenses

BONITA K VESTAL
Board Of Medicine
License number
M-3713
Date granted
10/30/1977
Class
Board Of Medicine
Status
Canceled
Address
1613 N. 20th St. BOISE ID 83702
idaholicensing.com
ID 48382850
LAST UPDATED 2024-03-16 03:45:22 UTC

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