License holder summary

PATRICIA ANNE GUSTAVEL is a Board Of Medicine licensed to practice in Idaho. The address on file for PATRICIA ANNE GUSTAVEL is 5532 Randolph Boise ID 83705. This licensed professional license is not current. The license was granted 12/20/1994 and expired on 07/08/2004.

Idaho

Division of Occupational and Professional Licenses

PATRICIA ANNE GUSTAVEL
Board Of Medicine
License number
D-093
Date granted
12/20/1994
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
5532 Randolph Boise ID 83705
idaholicensing.com
ID 48339179
LAST UPDATED 2026-03-13 18:31:12 UTC

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