License holder summary

MR. GORDON SCOTT BONTRAGER is a Board Of Medicine licensed to practice in Idaho. The address on file for MR. GORDON SCOTT BONTRAGER is 4109 LINDENWOOD DR KINGSPORT TN 37663. This licensed professional license is not current. The license was granted 10/05/2009 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

MR. GORDON SCOTT BONTRAGER
Board Of Medicine
License number
PA-821
Date granted
10/05/2009
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
4109 LINDENWOOD DR KINGSPORT TN 37663
idaholicensing.com
ID 48334260
LAST UPDATED 2024-02-04 03:36:57 UTC

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