License holder summary

MANDY MARIE BRIDGEFORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for MANDY MARIE BRIDGEFORTH is 8829 W DULCIMER ST BOISE ID 83709. This licensed professional license is not current. The license was granted 04/14/2005 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

MANDY MARIE BRIDGEFORTH
Board Of Medicine
License number
LRT-1097
Date granted
04/14/2005
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
8829 W DULCIMER ST BOISE ID 83709
idaholicensing.com
ID 48341562
LAST UPDATED 2026-03-11 18:18:40 UTC

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