Idaho
Division of Occupational and Professional Licenses
Dr. ANDREW ROBERT ELLSWORTH
Board Of Medicine
License number
M-11198
Date granted
01/11/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
FAMILY MEDICINE RESID OF ID BOISE ID 83704
idaholicensing.com
ID 48357498
LAST UPDATED 2024-02-20 16:47:12 UTC
LAST UPDATED 2024-02-20 16:47:12 UTC
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