Idaho
Division of Occupational and Professional Licenses
RUSSELL JAY KING
Board Of Medicine
License number
LRT-1250
Date granted
06/11/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
16719 LANCASTER AVE CALDWELL ID 83607
idaholicensing.com
ID 48356151
LAST UPDATED 2024-02-05 10:44:18 UTC
LAST UPDATED 2024-02-05 10:44:18 UTC
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