IVAN A. ANDERSON
Idaho M-1618 Deceased
This Idaho license was held by IVAN A. ANDERSON. The license is no longer active. It was granted on 04/04/1940 and expired on 04/04/1940
LICENSE DETAILS
- License Number: M-1618
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 04/04/1940 (about 85 years ago)
- Expiry Date: 04/04/1940 (about 85 years ago)
LOCATIONS
A Residential
606 Medouista Drive Columbia MO 65201