Idaho
Division of Occupational and Professional Licenses
DAVID ELLIOTT HOWARD RUSSELL
Board Of Medicine
License number
MRM-1251
Date granted
06/01/2012
Date expires
06/01/2013
Class
Board Of Medicine
Status
Expired
Address
777 N RAYMOND ST BOISE ID 83704
idaholicensing.com
ID 48363735
LAST UPDATED 2024-04-01 06:51:49 UTC
LAST UPDATED 2024-04-01 06:51:49 UTC
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