RANDALL E FELLMAN

Idaho  M-4271   Canceled

This Idaho license was held by RANDALL E FELLMAN. The license is no longer active. It was granted on 11/22/1980 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: M-4271
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 11/22/1980 (over 44 years ago)
  • Expiry Date: 06/30/2001 (about 24 years ago)

LOCATIONS

A Residential

1227 Monticello Blvd Ocean Springs MS 39564