Idaho
Division of Occupational and Professional Licenses
BRENDA LYNN BOURN
Board Of Medicine
License number
D-742
Date granted
12/04/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4573 W.QUAKER RIDGE DR. MERIDIAN ID 83646
idaholicensing.com
ID 48341297
LAST UPDATED 2026-04-12 10:26:27 UTC
LAST UPDATED 2026-04-12 10:26:27 UTC
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