Idaho
Division of Occupational and Professional Licenses
RUSSELL CHLORIS ANDERSON II
Board Of Medicine
License number
M-4780
Date granted
07/16/1984
Class
Board Of Medicine
Status
Canceled
Address
7251 Mt. Baker Hwy. Deming WA 98244
idaholicensing.com
ID 48336701
LAST UPDATED 2024-02-27 07:19:45 UTC
LAST UPDATED 2024-02-27 07:19:45 UTC
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