AMANDA JO ANDERSON
Idaho PAI-463 Canceled
This Idaho license was held by AMANDA JO ANDERSON. The license is no longer active. It was granted on 09/05/2003 and expired on 07/31/2010
LICENSE DETAILS
- License Number: PAI-463
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/05/2003 (over 20 years ago)
- Expiry Date: 07/31/2010 (over 13 years ago)
LOCATIONS
A Residential
37440 110TH STREET KENSINGTON MN 56343