License holder summary

BRETT TRAVIS MUMFORD is a Board Of Medicine licensed to practice in Idaho. The address on file for BRETT TRAVIS MUMFORD is 879 JACKSON AVE EMMETT ID 83617. This licensed professional license is not current. The license was granted 07/19/2005 and expired on 12/31/2006.

Idaho

Division of Occupational and Professional Licenses

BRETT TRAVIS MUMFORD
Board Of Medicine
License number
DPHY-0266
Date granted
07/19/2005
Date expires
12/31/2006
Class
Board Of Medicine
Status
Canceled
Address
879 JACKSON AVE EMMETT ID 83617
idaholicensing.com
ID 48350273
LAST UPDATED 2024-02-20 09:58:03 UTC

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