License holder summary

Dr. ALLISON BROOKE BASTIAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ALLISON BROOKE BASTIAN is 777 N. RAYMOND STREET BOISE ID 83704. This licensed professional license is current. The license was granted 11/17/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. ALLISON BROOKE BASTIAN
Board Of Medicine
License number
M-12732
Date granted
11/17/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48336846
LAST UPDATED 2024-01-26 23:17:11 UTC

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