Idaho
Division of Occupational and Professional Licenses
BRANDON STANLEY CENTERWALL
Board Of Medicine
License number
M-7855
Date granted
09/11/1999
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
222 W Las Colinas Blvd Irving TX 75039
idaholicensing.com
ID 48335859
LAST UPDATED 2026-05-31 17:29:48 UTC
LAST UPDATED 2026-05-31 17:29:48 UTC
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