Idaho
Division of Occupational and Professional Licenses
Dr. BRUCE MARVIN HANSEN
Board Of Medicine
License number
O-0636
Date granted
09/02/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
P.O. Box 51427 Casper WY 82605
idaholicensing.com
ID 48360661
LAST UPDATED 2024-04-01 13:55:42 UTC
LAST UPDATED 2024-04-01 13:55:42 UTC
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