RICHARD JOHN ANDERSON

Idaho  M-5922   Canceled

This Idaho license was held by RICHARD JOHN ANDERSON. The license is no longer active. It was granted on 11/09/1991 and expired on 07/02/1997

LICENSE DETAILS

  • License Number: M-5922
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 11/09/1991 (over 33 years ago)
  • Expiry Date: 07/02/1997 (almost 28 years ago)

LOCATIONS

A Residential

3615 Kennedy Dr Apt 4 East Moline IL 61244