License holder summary

BRIAN EDWARD GRANVALL is a Board Of Medicine licensed to practice in Idaho. The address on file for BRIAN EDWARD GRANVALL is 190 E BANNOCK BOISE ID 83712. This licensed professional license is current. The license was granted 12/28/2012 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

BRIAN EDWARD GRANVALL
Board Of Medicine
License number
PA-1042
Date granted
12/28/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
190 E BANNOCK BOISE ID 83712
idaholicensing.com
ID 48351727
LAST UPDATED 2024-02-26 09:55:01 UTC

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