Idaho
Division of Occupational and Professional Licenses
ANITA MARIE HENRICKSON-SIMONSON
Board Of Medicine
License number
LRT-709
Date granted
05/01/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1691 N EAGLE ROAD EAGLE ID 83616
idaholicensing.com
ID 48343588
LAST UPDATED 2024-04-14 00:12:23 UTC
LAST UPDATED 2024-04-14 00:12:23 UTC
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