Idaho
Division of Occupational and Professional Licenses
PHILLIP ANDERS ELLE
Board Of Medicine
License number
LRT-1249
Date granted
06/07/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
7976 SOUTH RED CLIFF AVE BOISE ID 83716
idaholicensing.com
ID 48348084
LAST UPDATED 2024-04-18 09:04:09 UTC
LAST UPDATED 2024-04-18 09:04:09 UTC
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