License holder summary

IVAN J GUSTAFSON is a Board Of Medicine licensed to practice in Idaho. The address on file for IVAN J GUSTAFSON is Box 209 Hagerman ID 83332. This licensed professional license is not current. The license was granted 07/13/1970 and expired on 06/30/1999.

Idaho

Division of Occupational and Professional Licenses

IVAN J GUSTAFSON
Board Of Medicine
License number
M-2921
Date granted
07/13/1970
Date expires
06/30/1999
Class
Board Of Medicine
Status
Deceased
Address
Box 209 Hagerman ID 83332
idaholicensing.com
ID 48334107
LAST UPDATED 2024-04-06 13:50:49 UTC

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