Idaho
Division of Occupational and Professional Licenses
BRADLEY JAMES HENINGER
Board Of Medicine
License number
PA-1026
Date granted
11/13/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
520 S Eagle Meridian ID 83642
idaholicensing.com
ID 48350868
LAST UPDATED 2024-04-02 07:47:27 UTC
LAST UPDATED 2024-04-02 07:47:27 UTC
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