License holder summary

JOANNE W BRUEGEMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for JOANNE W BRUEGEMAN is 628 Park Ave Lewiston ID 83501. This licensed professional license is not current. The license was granted 01/15/2004 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

JOANNE W BRUEGEMAN
Board Of Medicine
License number
PSG-012
Date granted
01/15/2004
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
628 Park Ave Lewiston ID 83501
idaholicensing.com
ID 48347340
LAST UPDATED 2026-05-12 21:23:33 UTC

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