DAVID BRUCE BETTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136329

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

BRUCE

Last Name

BETTIS

Business Name

DAVID BRUCE BETTIS MD

Original Issue Date

08/26/2014

Effective Date

08/26/2014

Expiration Date

07/31/2017

City

BOISE

State

Zip

83706

County

IDAHO

Ever Disciplined

LastModifiedDate

11/01/2017