License holder summary

TELLEN DEMEKE BENNETT is a Board Of Medicine licensed to practice in Idaho. The address on file for TELLEN DEMEKE BENNETT is POCATELLO CHILDRENS CLINIC POCATELLO ID 83205. This licensed professional license is not current. The license was granted 08/29/2002.

Idaho

Division of Occupational and Professional Licenses

TELLEN DEMEKE BENNETT
Board Of Medicine
License number
MRM-733
Date granted
08/29/2002
Class
Board Of Medicine
Status
Canceled
Address
POCATELLO CHILDRENS CLINIC POCATELLO ID 83205
idaholicensing.com
ID 48340556
LAST UPDATED 2024-04-28 05:47:45 UTC

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