Idaho
Division of Occupational and Professional Licenses
PAMELA J. RUSSELL
Board Of Medicine
License number
LRT-577
Date granted
09/13/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
431 E Rocklan Ct. NAMPA ID 83686
idaholicensing.com
ID 48363740
LAST UPDATED 2024-01-03 03:26:01 UTC
LAST UPDATED 2024-01-03 03:26:01 UTC
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