Idaho
Division of Occupational and Professional Licenses
WILLIAM SULLIVAN BOURQUARD
Board Of Medicine
License number
M-5223
Date granted
06/20/1987
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6148 N Discovery Way Ste 100 BOISE ID 83713
idaholicensing.com
ID 48337526
LAST UPDATED 2024-03-19 10:15:38 UTC
LAST UPDATED 2024-03-19 10:15:38 UTC
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