License holder summary

Dr. ZACHARY Nathan BASTIAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ZACHARY Nathan BASTIAN is 1319 N 16th St Boise ID 83702. This licensed professional license is current. The license was granted 09/03/2013 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. ZACHARY Nathan BASTIAN
Board Of Medicine
License number
M-12152
Date granted
09/03/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1319 N 16th St Boise ID 83702
idaholicensing.com
ID 48336850
LAST UPDATED 2024-03-07 01:18:59 UTC

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