Idaho
Division of Occupational and Professional Licenses
PAUL D. BOSTROM
Board Of Medicine
License number
M-3143
Date granted
01/08/1973
Date expires
07/05/1994
Class
Board Of Medicine
Status
Canceled
Address
23866 County Rd. L Cortez CO 81321
idaholicensing.com
ID 48341269
LAST UPDATED 2024-02-15 19:04:10 UTC
LAST UPDATED 2024-02-15 19:04:10 UTC
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