FRED ANTHONY RUSSO
Idaho RTS-399 Expired
This Idaho license was held by FRED ANTHONY RUSSO. The license is no longer active. It was granted on 05/06/2011 and expired on 04/06/2012
LICENSE DETAILS
- License Number: RTS-399
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 05/06/2011 (about 14 years ago)
- Expiry Date: 04/06/2012 (about 13 years ago)
LOCATIONS
A Residential
1639 BELAIR PLACE MISSOULA MT 59801