Idaho
Division of Occupational and Professional Licenses
CHARLES DAVID RISSE
Board Of Medicine
License number
LRT-967
Date granted
11/05/2002
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
6507 20TH ST E #2 Fife WA 98424
idaholicensing.com
ID 48370351
LAST UPDATED 2024-01-31 07:38:24 UTC
LAST UPDATED 2024-01-31 07:38:24 UTC
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