License holder summary

RUSSELL THEODORE COLEMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL THEODORE COLEMAN is PO Box 4231 Mountain Home A F B ID 83648. This licensed professional license is not current. The license was granted 08/30/1995 and expired on 07/02/1996.

Idaho

Division of Occupational and Professional Licenses

RUSSELL THEODORE COLEMAN
Board Of Medicine
License number
M-6797
Date granted
08/30/1995
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4231 Mountain Home A F B ID 83648
idaholicensing.com
ID 48343958
LAST UPDATED 2026-05-23 19:37:28 UTC

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