Idaho
Division of Occupational and Professional Licenses
Bradley D. Mulkey
Board Of Medicine
License number
PA-511
Date granted
09/28/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3525 E. Louise Drive Meridian ID 83642
idaholicensing.com
ID 48357092
LAST UPDATED 2024-04-21 04:11:20 UTC
LAST UPDATED 2024-04-21 04:11:20 UTC
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