DAVID ELLIOTT HOWARD RUSSELL
Idaho MRM-1251 Expired
This Idaho license was held by DAVID ELLIOTT HOWARD RUSSELL. The license is no longer active. It was granted on 06/01/2012 and expired on 06/01/2013
LICENSE DETAILS
- License Number: MRM-1251
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 06/01/2012 (almost 13 years ago)
- Expiry Date: 06/01/2013 (almost 12 years ago)
LOCATIONS
A Residential
777 N RAYMOND ST BOISE ID 83704