License holder summary

WENDY JO RUSSELL is a Board Of Medicine licensed to practice in Idaho. The address on file for WENDY JO RUSSELL is 540 W Highway 26 Trlr E2 Blackfoot ID 83221. This licensed professional license is not current. The license was granted 03/03/1992 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

WENDY JO RUSSELL
Board Of Medicine
License number
LRT-325
Date granted
03/03/1992
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
540 W Highway 26 Trlr E2 Blackfoot ID 83221
idaholicensing.com
ID 48363744
LAST UPDATED 2024-02-18 07:24:52 UTC

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