License holder summary

EDWARD L. GALLIVAN is a Board Of Medicine licensed to practice in Idaho. The address on file for EDWARD L. GALLIVAN is 1809 Boyd Avenue Coeur d Alene ID 83814. This licensed professional license is not current. The license was granted 07/13/1959 and expired on 07/13/1959.

Idaho

Division of Occupational and Professional Licenses

EDWARD L. GALLIVAN
Board Of Medicine
License number
M-2450
Date granted
07/13/1959
Date expires
07/13/1959
Class
Board Of Medicine
Status
Deceased
Address
1809 Boyd Avenue Coeur d Alene ID 83814
idaholicensing.com
ID 48350512
LAST UPDATED 2024-03-30 09:32:12 UTC

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