Idaho
Division of Occupational and Professional Licenses
BRENT HIRSCH GREENWALD
Board Of Medicine
License number
M-6947
Date granted
03/02/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3155 CHANNING WAY STE B IDAHO FALLS ID 83404
idaholicensing.com
ID 48347060
LAST UPDATED 2024-03-05 20:20:26 UTC
LAST UPDATED 2024-03-05 20:20:26 UTC
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