License holder summary

PHILLIP AUSTIN GARDNER is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILLIP AUSTIN GARDNER is 515 W Front St Missoula MT 59802. This licensed professional license is not current. The license was granted 06/25/1998 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

PHILLIP AUSTIN GARDNER
Board Of Medicine
License number
M-7530
Date granted
06/25/1998
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
515 W Front St Missoula MT 59802
idaholicensing.com
ID 48345480
LAST UPDATED 2024-03-21 22:25:25 UTC

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