Idaho
Division of Occupational and Professional Licenses
Dr. RONALD KYSAR ELLSWORTH
Board Of Medicine
License number
M-11978
Date granted
04/22/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
30 W Main Saint Anthony ID 83445
idaholicensing.com
ID 48357505
LAST UPDATED 2024-02-21 05:01:15 UTC
LAST UPDATED 2024-02-21 05:01:15 UTC
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