Idaho
Division of Occupational and Professional Licenses
CARL RYAN ANDRUS
Board Of Medicine
License number
PA-508
Date granted
09/16/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
500 WEST FORT ST BOISE ID 83702
idaholicensing.com
ID 48336757
LAST UPDATED 2024-05-07 19:52:02 UTC
LAST UPDATED 2024-05-07 19:52:02 UTC
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