Idaho
Division of Occupational and Professional Licenses
BRYANT FRED HANSEN
Board Of Medicine
License number
PA-1148
Date granted
02/14/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
72 S 1 E Rexburg ID 83440
idaholicensing.com
ID 48360662
LAST UPDATED 2024-04-26 21:31:01 UTC
LAST UPDATED 2024-04-26 21:31:01 UTC
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