Idaho
Division of Occupational and Professional Licenses
DWAINE ANTHONY TESNOHLIDEK
Board Of Medicine
License number
M-6508
Date granted
07/12/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1210 nw 16 st Fruitland ID 83619
idaholicensing.com
ID 48348027
LAST UPDATED 2024-03-15 18:07:04 UTC
LAST UPDATED 2024-03-15 18:07:04 UTC
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