License holder summary

CHARLES DAVID RISSE is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES DAVID RISSE is 6507 20TH ST E #2 Fife WA 98424. This licensed professional license is not current. The license was granted 11/05/2002 and expired on 07/08/2004.

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 2026-03-16 09:33:58 UTC

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