Idaho
Division of Occupational and Professional Licenses
RUSSELL THOMAS BAKER JR.
Board Of Medicine
License number
AT-496
Date granted
11/18/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
875 Perimeter Drive Moscow ID 83844
idaholicensing.com
ID 48335215
LAST UPDATED 2024-02-15 15:54:41 UTC
LAST UPDATED 2024-02-15 15:54:41 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.