Idaho
Division of Occupational and Professional Licenses
BRADY LEE WALTON
Board Of Medicine
License number
RTS-400
Date granted
05/06/2011
Date expires
04/06/2012
Class
Board Of Medicine
Status
Expired
Address
1742 S 12TH ST W MISSOULA MT 59801
idaholicensing.com
ID 48357883
LAST UPDATED 2024-02-24 19:36:53 UTC
LAST UPDATED 2024-02-24 19:36:53 UTC
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