License holder summary

DAVID EDWARD ANDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID EDWARD ANDERSON is 1127 RUSSETT STREET IDAHO FALLS ID 83401. This licensed professional license is not current. The license was granted 01/15/2003 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

DAVID EDWARD ANDERSON
Board Of Medicine
License number
LRT-980
Date granted
01/15/2003
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
1127 RUSSETT STREET IDAHO FALLS ID 83401
idaholicensing.com
ID 48336610
LAST UPDATED 2024-03-14 22:03:23 UTC

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