License holder summary

GERALD THOMAS PRUITT is a Board Of Medicine licensed to practice in Idaho. The address on file for GERALD THOMAS PRUITT is 98 POPLAR BLACKFOOT ID 83221. This licensed professional license is not current. The license was granted 09/12/2005 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

GERALD THOMAS PRUITT
Board Of Medicine
License number
O-0369
Date granted
09/12/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
98 POPLAR BLACKFOOT ID 83221
idaholicensing.com
ID 48355308
LAST UPDATED 2024-01-20 17:02:11 UTC

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