License holder summary

BRYAN R LARSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for BRYAN R LARSEN is 1709 Quail Way Logan UT 84321. This licensed professional license is not current. The license was granted 11/14/1994 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

BRYAN R LARSEN
Board Of Medicine
License number
M-6616
Date granted
11/14/1994
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
1709 Quail Way Logan UT 84321
idaholicensing.com
ID 48363029
LAST UPDATED 2024-03-29 11:12:02 UTC

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