ANDREW MARK ANDERSON
Idaho PAT-632 Expired
This Idaho license was held by ANDREW MARK ANDERSON. The license is no longer active. It was granted on 09/24/2008 and expired on 10/14/2008
LICENSE DETAILS
- License Number: PAT-632
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/24/2008 (over 16 years ago)
- Expiry Date: 10/14/2008 (over 16 years ago)
LOCATIONS
A Residential
8833 SW 30TH AVE APT 323 PORTLAND OR 97219