License holder summary

RUSSELL BROHOLM is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL BROHOLM is 407 Gumaer Ave. Florence CO 81226. This licensed professional license is not current. The license was granted 01/12/1980 and expired on 06/16/1958.

Idaho

Division of Occupational and Professional Licenses

RUSSELL BROHOLM
Board Of Medicine
License number
M-4149
Date granted
01/12/1980
Date expires
06/16/1958
Class
Board Of Medicine
Status
Deceased
Address
407 Gumaer Ave. Florence CO 81226
idaholicensing.com
ID 48341651
LAST UPDATED 2026-03-25 23:42:31 UTC

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