License holder summary

LAVERNE R BERNARD is a Board Of Medicine licensed to practice in Idaho. The address on file for LAVERNE R BERNARD is PO Box 154 Moran WY 83013. This licensed professional license is not current. The license was granted 06/17/1982 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

LAVERNE R BERNARD
Board Of Medicine
License number
M-4481
Date granted
06/17/1982
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 154 Moran WY 83013
idaholicensing.com
ID 48337498
LAST UPDATED 2024-04-09 19:59:27 UTC

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