RUSSELL THOMAS BAKER JR.
Idaho AT-496 Renewed
This Idaho license is held by RUSSELL THOMAS BAKER JR.. The license is currently active. It was granted on 11/18/2013 and expired on 06/30/2018
LICENSE DETAILS
- License Number: AT-496
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 11/18/2013 (over 10 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
875 Perimeter Drive Moscow ID 83844
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