License holder summary

ANDREW ANTHONY HENNEBERG is a Board Of Medicine licensed to practice in Idaho. The address on file for ANDREW ANTHONY HENNEBERG is 980 W IRONWOOD DR COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 01/20/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ANDREW ANTHONY HENNEBERG
Board Of Medicine
License number
M-9485
Date granted
01/20/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
980 W IRONWOOD DR COEUR D ALENE ID 83814
idaholicensing.com
ID 48346667
LAST UPDATED 2024-03-20 03:41:48 UTC

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