Idaho
Division of Occupational and Professional Licenses
BONNIE KIM WAITE
Board Of Medicine
License number
M-7308
Date granted
08/15/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
425 W Bannock Boise ID 83702
idaholicensing.com
ID 48335116
LAST UPDATED 2024-04-20 02:31:13 UTC
LAST UPDATED 2024-04-20 02:31:13 UTC
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