Idaho
Division of Occupational and Professional Licenses
ED T. BIWER
Board Of Medicine
License number
M-0596
Date granted
04/06/1911
Date expires
04/06/1911
Class
Board Of Medicine
Status
Canceled
Address
1911 Harrison Boulevard Boise ID 83702
idaholicensing.com
ID 48340845
LAST UPDATED 2024-03-06 08:17:23 UTC
LAST UPDATED 2024-03-06 08:17:23 UTC
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