Idaho
Division of Occupational and Professional Licenses
LISA ANNE BRIDWELL
Board Of Medicine
License number
LRT-883
Date granted
09/11/2001
Date expires
07/02/2002
Class
Board Of Medicine
Status
Canceled
Address
1811-17th Avenue Lewiston ID 83501
idaholicensing.com
ID 48341568
LAST UPDATED 2024-02-24 20:04:51 UTC
LAST UPDATED 2024-02-24 20:04:51 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.