License holder summary

Dr. BRENT AUSTIN RUSSELL is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BRENT AUSTIN RUSSELL is 100 Hospital Way Ketchum ID 83340. This licensed professional license is current. The license was granted 11/23/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. BRENT AUSTIN RUSSELL
Board Of Medicine
License number
M-10868
Date granted
11/23/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
100 Hospital Way Ketchum ID 83340
idaholicensing.com
ID 48363733
LAST UPDATED 2024-02-07 19:09:13 UTC

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