Idaho
Division of Occupational and Professional Licenses
TODD JOHNSON RUSTAD
Board Of Medicine
License number
M-7280
Date granted
07/18/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
900 N Liberty St Ste 400 BOISE ID 83704
idaholicensing.com
ID 48331193
LAST UPDATED 2024-02-03 13:51:16 UTC
LAST UPDATED 2024-02-03 13:51:16 UTC
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