DR. ANDREA R GUSTAFSON
Idaho MRO-1027 Expired
This Idaho license was held by DR. ANDREA R GUSTAFSON. The license is no longer active. It was granted on 09/09/2008 and expired on 10/19/2008
LICENSE DETAILS
- License Number: MRO-1027
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/09/2008 (over 15 years ago)
- Expiry Date: 10/19/2008 (over 15 years ago)
LOCATIONS
A Residential
950 IRONWOOD DR COEUR D ALENE ID 83814