Idaho
Division of Occupational and Professional Licenses
RUSSELL STAFFORD WHELAN
Board Of Medicine
License number
MRM-1519
Date granted
07/10/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
PO BOX 2160 SANDPOINT ID 83864
idaholicensing.com
ID 48387122
LAST UPDATED 2024-03-30 09:20:18 UTC
LAST UPDATED 2024-03-30 09:20:18 UTC
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