Idaho
Division of Occupational and Professional Licenses
TYLER LEE ANDERSON
Board Of Medicine
License number
PA-977
Date granted
05/15/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1119 HIGHLAND AVE SUITE 10 CLARKSTON WA 99403
idaholicensing.com
ID 48336713
LAST UPDATED 2024-01-03 01:53:27 UTC
LAST UPDATED 2024-01-03 01:53:27 UTC
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