Idaho
Division of Occupational and Professional Licenses
MICHAEL AUSTIN ANDERSON
Board Of Medicine
License number
MSO-0067
Date granted
05/31/2013
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
3005 SHELLY PLACE POCATELLO ID 83201
idaholicensing.com
ID 48336676
LAST UPDATED 2024-02-02 22:10:23 UTC
LAST UPDATED 2024-02-02 22:10:23 UTC
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