Idaho
Division of Occupational and Professional Licenses
ROBERT M. BATHURST
Board Of Medicine
License number
M-4602
Date granted
03/04/1983
Date expires
07/02/1991
Class
Board Of Medicine
Status
Canceled
Address
Box 1206 Wisconsin Rapids WI 54495
idaholicensing.com
ID 48338047
LAST UPDATED 2024-03-11 07:42:03 UTC
LAST UPDATED 2024-03-11 07:42:03 UTC
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