License holder summary

RUSSELL SCOTT VANDERWILDE is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL SCOTT VANDERWILDE is 601 W 5th Ave Ste 400 SPOKANE WA 99204. This licensed professional license is current. The license was granted 08/12/1993 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RUSSELL SCOTT VANDERWILDE
Board Of Medicine
License number
M-6278
Date granted
08/12/1993
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
601 W 5th Ave Ste 400 SPOKANE WA 99204
idaholicensing.com
ID 48357009
LAST UPDATED 2024-04-21 18:21:06 UTC

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