Idaho
Division of Occupational and Professional Licenses
Dr. BRUCE MELVIN BERENS
Board Of Medicine
License number
M-10560
Date granted
01/05/2009
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
St. Paul Radiology Saint Paul MN 55101
idaholicensing.com
ID 48340601
LAST UPDATED 2024-02-05 05:54:07 UTC
LAST UPDATED 2024-02-05 05:54:07 UTC
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