License holder summary

MARY BETH VAN BRONKHORST is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY BETH VAN BRONKHORST is 5476 W 32ND PL FERNDALE WA 98248. This licensed professional license is not current. The license was granted 02/19/1991 and expired on 06/30/1995.

Idaho

Division of Occupational and Professional Licenses

MARY BETH VAN BRONKHORST
Board Of Medicine
License number
RPA-93
Date granted
02/19/1991
Date expires
06/30/1995
Class
Board Of Medicine
Status
Canceled
Address
5476 W 32ND PL FERNDALE WA 98248
idaholicensing.com
ID 48356088
LAST UPDATED 2024-05-07 15:13:54 UTC

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