License holder summary

Dr. BROCK A ANDERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BROCK A ANDERSEN is 1118 NW 16th St Fruitland ID 83619. This licensed professional license is current. The license was granted 10/13/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. BROCK A ANDERSEN
Board Of Medicine
License number
M-11462
Date granted
10/13/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1118 NW 16th St Fruitland ID 83619
idaholicensing.com
ID 48336557
LAST UPDATED 2024-02-07 21:45:24 UTC

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