License holder summary

PHILLIP CHARLES AGRUSA is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILLIP CHARLES AGRUSA is OB/GYN ASSOCIATES PA MERIDIAN ID 83642. This licensed professional license is current. The license was granted 04/09/1999 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

PHILLIP CHARLES AGRUSA
Board Of Medicine
License number
M-7716
Date granted
04/09/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
OB/GYN ASSOCIATES PA MERIDIAN ID 83642
idaholicensing.com
ID 48334217
LAST UPDATED 2024-02-18 08:53:05 UTC

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