Idaho
Division of Occupational and Professional Licenses
GORDON BRADLEY GREAVES
Board Of Medicine
License number
PA-615
Date granted
08/02/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
15821 Allendale Rd. Wilder ID 83676
idaholicensing.com
ID 48339171
LAST UPDATED 2026-04-17 22:49:37 UTC
LAST UPDATED 2026-04-17 22:49:37 UTC
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