License holder summary

DR. ANDREA R GUSTAFSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. ANDREA R GUSTAFSON is 950 IRONWOOD DR COEUR D ALENE ID 83814. This licensed professional license is not current. The license was granted 09/09/2008 and expired on 10/19/2008.

Idaho

Division of Occupational and Professional Licenses

DR. ANDREA R GUSTAFSON
Board Of Medicine
License number
MRO-1027
Date granted
09/09/2008
Date expires
10/19/2008
Class
Board Of Medicine
Status
Expired
Address
950 IRONWOOD DR COEUR D ALENE ID 83814
idaholicensing.com
ID 48334104
LAST UPDATED 2024-04-12 02:13:48 UTC

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