Idaho
Division of Occupational and Professional Licenses
MICHAEL ALLEN ANDERSON
Board Of Medicine
License number
PAT-1057
Date granted
03/11/2013
Date expires
04/05/2013
Class
Board Of Medicine
Status
Expired
Address
314 W RIDGEVIEW LANE ELLENSBURG WA 98926
idaholicensing.com
ID 48336678
LAST UPDATED 2024-02-12 03:26:49 UTC
LAST UPDATED 2024-02-12 03:26:49 UTC
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