License holder summary

CHARLES H ELLINGHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES H ELLINGHAM is 236 E Hiway 81 Burley ID 83318. This licensed professional license is not current. The license was granted 07/14/1964 and expired on 07/14/2005.

Idaho

Division of Occupational and Professional Licenses

CHARLES H ELLINGHAM
Board Of Medicine
License number
M-2660
Date granted
07/14/1964
Date expires
07/14/2005
Class
Board Of Medicine
Status
Canceled
Address
236 E Hiway 81 Burley ID 83318
idaholicensing.com
ID 48336380
LAST UPDATED 2024-03-04 16:19:10 UTC

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