License holder summary

BRYAN KEITH BADE is a Board Of Medicine licensed to practice in Idaho. The address on file for BRYAN KEITH BADE is 1620 S 26th Street Nampa ID 83686. This licensed professional license is not current. The license was granted 12/18/2003 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

BRYAN KEITH BADE
Board Of Medicine
License number
PGT-001
Date granted
12/18/2003
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1620 S 26th Street Nampa ID 83686
idaholicensing.com
ID 48329761
LAST UPDATED 2024-04-02 11:42:16 UTC

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