Dr. ANDREW ROBERT ELLSWORTH
Idaho M-11198 Canceled
This Idaho license was held by Dr. ANDREW ROBERT ELLSWORTH. The license is no longer active. It was granted on 01/11/2011 and expired on 08/01/2013
LICENSE DETAILS
- License Number: M-11198
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/11/2011 (about 13 years ago)
- Expiry Date: 08/01/2013 (over 10 years ago)
LOCATIONS
A Residential
FAMILY MEDICINE RESID OF ID BOISE ID 83704