DAVID EDWARD ANDERSON
Idaho LRT-980 Canceled
This Idaho license was held by DAVID EDWARD ANDERSON. The license is no longer active. It was granted on 01/15/2003 and expired on 06/30/2006
LICENSE DETAILS
- License Number: LRT-980
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/15/2003 (over 22 years ago)
- Expiry Date: 06/30/2006 (about 19 years ago)
LOCATIONS
A Residential
1127 RUSSETT STREET IDAHO FALLS ID 83401