Idaho
Division of Occupational and Professional Licenses
WILLIAM M. RUSSELL
Board Of Medicine
License number
M-2716
Date granted
01/10/1966
Date expires
01/10/1966
Class
Board Of Medicine
Status
Canceled
Address
1570 Plum Street San Diego CA 92106
idaholicensing.com
ID 48363745
LAST UPDATED 2024-01-18 21:22:18 UTC
LAST UPDATED 2024-01-18 21:22:18 UTC
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