License holder summary

RUSSELL THOMAS BAKER JR. is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL THOMAS BAKER JR. is 875 Perimeter Drive Moscow ID 83844. This licensed professional license is current. The license was granted 11/18/2013 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

RUSSELL THOMAS BAKER JR.
Board Of Medicine
License number
AT-496
Date granted
11/18/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
875 Perimeter Drive Moscow ID 83844
idaholicensing.com
ID 48335215
LAST UPDATED 2026-05-14 11:20:04 UTC

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