Idaho
Division of Occupational and Professional Licenses
Dr. BASCOM KYLE BRADSHAW
Board Of Medicine
License number
O-0974
Date granted
07/25/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
6501 US HIGHWAY 431 N HEADLAND AL 36345
idaholicensing.com
ID 48329816
LAST UPDATED 2024-03-01 22:28:23 UTC
LAST UPDATED 2024-03-01 22:28:23 UTC
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