License holder summary

PATRICK HENERY BRAKEBUSH is a Board Of Medicine licensed to practice in Idaho. The address on file for PATRICK HENERY BRAKEBUSH is PO Box 2095 PORT TOWNSEND WA 98368. This licensed professional license is current. The license was granted 09/25/2000 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

PATRICK HENERY BRAKEBUSH
Board Of Medicine
License number
LRT-835
Date granted
09/25/2000
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO Box 2095 PORT TOWNSEND WA 98368
idaholicensing.com
ID 48335248
LAST UPDATED 2024-03-20 22:09:54 UTC

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