Idaho
Division of Occupational and Professional Licenses
CHRISTY JULIA ANDERSON
Board Of Medicine
License number
PAT-1154
Date granted
01/23/2014
Date expires
03/14/2014
Class
Board Of Medicine
Status
Expired
Address
9701 SW 62ND AVE PORTLAND OR 97219
idaholicensing.com
ID 48336606
LAST UPDATED 2024-04-21 01:21:42 UTC
LAST UPDATED 2024-04-21 01:21:42 UTC
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