Idaho
Division of Occupational and Professional Licenses
BRIAN DALE PROCTOR
Board Of Medicine
License number
M-6835
Date granted
09/09/1995
Date expires
06/30/1983
Class
Board Of Medicine
Status
Canceled
Address
W 5336 Bahr Rd West Salem WI 54669
idaholicensing.com
ID 48344474
LAST UPDATED 2024-04-30 06:51:41 UTC
LAST UPDATED 2024-04-30 06:51:41 UTC
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