Idaho
Division of Occupational and Professional Licenses
Dr. BASIL Clarence ANDERSON
Board Of Medicine
License number
DPHY-11966
Date granted
09/12/2013
Date expires
02/02/2015
Class
Board Of Medicine
Status
Canceled
Address
P.O. Box 559 Kimberly ID 83341
idaholicensing.com
ID 48336581
LAST UPDATED 2024-01-25 18:26:46 UTC
LAST UPDATED 2024-01-25 18:26:46 UTC
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