License holder summary

Dr. BRUCE Douglas BANWART is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BRUCE Douglas BANWART is 1401 W 50TH STREET KANSAS CITY MO 64112. This licensed professional license is not current. The license was granted 03/07/2013 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. BRUCE Douglas BANWART
Board Of Medicine
License number
M-11930
Date granted
03/07/2013
Date expires
06/30/2016
Class
Board Of Medicine
Status
Canceled
Address
1401 W 50TH STREET KANSAS CITY MO 64112
idaholicensing.com
ID 48336839
LAST UPDATED 2024-04-04 02:53:04 UTC

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