License holder summary

BRIAN KEITH BATES is a Board Of Medicine licensed to practice in Idaho. The address on file for BRIAN KEITH BATES is 77 W. Forest Ave Flagstaff AZ 86001. This licensed professional license is not current. The license was granted 06/07/2002 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

BRIAN KEITH BATES
Board Of Medicine
License number
M-8521
Date granted
06/07/2002
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
77 W. Forest Ave Flagstaff AZ 86001
idaholicensing.com
ID 48338033
LAST UPDATED 2024-03-09 13:42:33 UTC

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