Idaho
Division of Occupational and Professional Licenses
BRUCE DALE WOODALL
Board Of Medicine
License number
M-9450
Date granted
12/02/2005
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
229 8TH ST SAINT MARIES ID 83861
idaholicensing.com
ID 48361179
LAST UPDATED 2024-04-22 06:15:48 UTC
LAST UPDATED 2024-04-22 06:15:48 UTC
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