Idaho
Division of Occupational and Professional Licenses
DAVID ARLO RUSSELL
Board Of Medicine
License number
M-6418
Date granted
01/12/1994
Date expires
06/30/2014
Class
Board Of Medicine
Status
Canceled
Address
29343 N 129TH AVE PEORIA AZ 85383
idaholicensing.com
ID 48363734
LAST UPDATED 2026-03-15 13:59:10 UTC
LAST UPDATED 2026-03-15 13:59:10 UTC
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