Idaho
Division of Occupational and Professional Licenses
GRANT P BAGLEY
Board Of Medicine
License number
M-4551
Date granted
09/27/1982
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
1101 Francis Ave BALTIMORE MD 21227
idaholicensing.com
ID 48334241
LAST UPDATED 2024-02-21 13:13:40 UTC
LAST UPDATED 2024-02-21 13:13:40 UTC
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