License holder summary

RANDALL E FELLMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL E FELLMAN is 1227 Monticello Blvd Ocean Springs MS 39564. This licensed professional license is not current. The license was granted 11/22/1980 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

RANDALL E FELLMAN
Board Of Medicine
License number
M-4271
Date granted
11/22/1980
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
1227 Monticello Blvd Ocean Springs MS 39564
idaholicensing.com
ID 48349664
LAST UPDATED 2024-04-10 19:10:23 UTC

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