Idaho
Division of Occupational and Professional Licenses
Dr. BRIAN Keith BARSTAD
Board Of Medicine
License number
M-11755
Date granted
08/28/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
177 Minneapolis Beach Road Chelan WA 98816
idaholicensing.com
ID 48329777
LAST UPDATED 2024-02-26 12:44:44 UTC
LAST UPDATED 2024-02-26 12:44:44 UTC
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