License holder summary

KRISTYN LEE ANDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTYN LEE ANDERSON is 2003 N. 20th St BOISE ID 83702. This licensed professional license is not current. The license was granted 10/10/2003 and expired on 07/08/2004.

Idaho

Division of Occupational and Professional Licenses

KRISTYN LEE ANDERSON
Board Of Medicine
License number
D-429
Date granted
10/10/2003
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
2003 N. 20th St BOISE ID 83702
idaholicensing.com
ID 48336660
LAST UPDATED 2024-03-09 18:32:59 UTC

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