License holder summary

EDWARD ANGUS VIVIAN is a Board Of Medicine licensed to practice in Idaho. The address on file for EDWARD ANGUS VIVIAN is 1604 KESTREL DRIVE CLARKSTON WA 99403. This licensed professional license is not current. The license was granted 01/04/1996 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

EDWARD ANGUS VIVIAN
Board Of Medicine
License number
M-6912
Date granted
01/04/1996
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
1604 KESTREL DRIVE CLARKSTON WA 99403
idaholicensing.com
ID 48353895
LAST UPDATED 2024-03-06 13:35:05 UTC

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