License holder summary

FRED ANTHONY RUSSO is a Board Of Medicine licensed to practice in Idaho. The address on file for FRED ANTHONY RUSSO is 1639 BELAIR PLACE MISSOULA MT 59801. This licensed professional license is not current. The license was granted 05/06/2011 and expired on 04/06/2012.

Idaho

Division of Occupational and Professional Licenses

FRED ANTHONY RUSSO
Board Of Medicine
License number
RTS-399
Date granted
05/06/2011
Date expires
04/06/2012
Class
Board Of Medicine
Status
Expired
Address
1639 BELAIR PLACE MISSOULA MT 59801
idaholicensing.com
ID 48363758
LAST UPDATED 2026-05-03 03:46:32 UTC

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