Idaho
Division of Occupational and Professional Licenses
CONSTANCE J. BRUMM
Board Of Medicine
License number
M-4599
Date granted
02/17/1983
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
5880 W. Mercer Way Mercer Island WA 98040
idaholicensing.com
ID 48358810
LAST UPDATED 2024-04-29 01:26:34 UTC
LAST UPDATED 2024-04-29 01:26:34 UTC
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