License holder summary

GARY FRANCIS SIVERTSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for GARY FRANCIS SIVERTSEN is 308 Fairmont St Salmon ID 83467. This licensed professional license is not current. The license was granted 05/09/1990 and expired on 06/30/2004.

Idaho

Division of Occupational and Professional Licenses

GARY FRANCIS SIVERTSEN
Board Of Medicine
License number
PA-86
Date granted
05/09/1990
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
308 Fairmont St Salmon ID 83467
idaholicensing.com
ID 48355438
LAST UPDATED 2024-03-25 04:36:13 UTC

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