License holder summary

GORDON SCOTT BONTRAGER is a Board Of Medicine licensed to practice in Idaho. The address on file for GORDON SCOTT BONTRAGER is 1178 MCKINLEY AVE UNIT C POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/21/2007 and expired on 07/31/2009.

Idaho

Division of Occupational and Professional Licenses

GORDON SCOTT BONTRAGER
Board Of Medicine
License number
PAT-570
Date granted
09/21/2007
Date expires
07/31/2009
Class
Board Of Medicine
Status
Expired
Address
1178 MCKINLEY AVE UNIT C POCATELLO ID 83201
idaholicensing.com
ID 48334261
LAST UPDATED 2024-04-19 22:15:49 UTC

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