KRISTYN LEE ANDERSON
Idaho D-429 Canceled
This Idaho license was held by KRISTYN LEE ANDERSON. The license is no longer active. It was granted on 10/10/2003 and expired on 07/08/2004
LICENSE DETAILS
- License Number: D-429
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/10/2003 (over 20 years ago)
- Expiry Date: 07/08/2004 (almost 20 years ago)
LOCATIONS
A Residential
2003 N. 20th St BOISE ID 83702