Idaho
Division of Occupational and Professional Licenses
TED ANGELO BRANSTETTER
Board Of Medicine
License number
PA-391
Date granted
05/03/2002
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
122 W 7TH AVE, STE 110 SPOKANE WA 99204
idaholicensing.com
ID 48341488
LAST UPDATED 2026-05-29 20:41:58 UTC
LAST UPDATED 2026-05-29 20:41:58 UTC
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