Idaho
Division of Occupational and Professional Licenses
THOMAS WAYNE BISHOP
Board Of Medicine
License number
LRT-337
Date granted
04/15/1992
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
628 W Main St Saint Anthony ID 83445
idaholicensing.com
ID 48340825
LAST UPDATED 2024-02-22 01:31:05 UTC
LAST UPDATED 2024-02-22 01:31:05 UTC
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