License holder summary

ANDREW MARK ANDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for ANDREW MARK ANDERSON is 8833 SW 30TH AVE APT 323 PORTLAND OR 97219. This licensed professional license is not current. The license was granted 09/24/2008 and expired on 10/14/2008.

Idaho

Division of Occupational and Professional Licenses

ANDREW MARK ANDERSON
Board Of Medicine
License number
PAT-632
Date granted
09/24/2008
Date expires
10/14/2008
Class
Board Of Medicine
Status
Expired
Address
8833 SW 30TH AVE APT 323 PORTLAND OR 97219
idaholicensing.com
ID 48336576
LAST UPDATED 2024-04-26 18:37:20 UTC

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