License holder summary

LISA ANNE BRIDWELL is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA ANNE BRIDWELL is 1811-17th Avenue Lewiston ID 83501. This licensed professional license is not current. The license was granted 09/11/2001 and expired on 07/02/2002.

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 2026-04-24 16:08:21 UTC

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