License holder summary

Dr. DOUGLAS WILLIAM RUSNACK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DOUGLAS WILLIAM RUSNACK is 337 16TH ST MANHATTAN BEACH CA 90266. This licensed professional license is not current. The license was granted 06/04/2004 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. DOUGLAS WILLIAM RUSNACK
Board Of Medicine
License number
M-9059
Date granted
06/04/2004
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
337 16TH ST MANHATTAN BEACH CA 90266
idaholicensing.com
ID 48329661
LAST UPDATED 2024-03-30 02:05:54 UTC

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