Idaho
Division of Occupational and Professional Licenses
TRAVIS WAYNE ANSCHUTZ
Board Of Medicine
License number
M-10102
Date granted
11/06/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3100 Channing Way, NICU Idaho Falls ID 83404
idaholicensing.com
ID 48336785
LAST UPDATED 2024-03-24 00:09:13 UTC
LAST UPDATED 2024-03-24 00:09:13 UTC
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