Idaho
Division of Occupational and Professional Licenses
GLENN C BOTHWELL
Board Of Medicine
License number
M-3165
Date granted
07/15/1973
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
4845 N CURLEW LN EAGLE ID 83616
idaholicensing.com
ID 48341274
LAST UPDATED 2024-02-21 17:01:33 UTC
LAST UPDATED 2024-02-21 17:01:33 UTC
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