Idaho
Division of Occupational and Professional Licenses
CHURCHILL C. HAENKE
Board Of Medicine
License number
RPA-48
Date granted
02/03/1983
Date expires
07/23/1984
Class
Board Of Medicine
Status
Canceled
Address
HC Box 76-K Berry Creek CA 95916
idaholicensing.com
ID 48333416
LAST UPDATED 2024-02-12 05:01:01 UTC
LAST UPDATED 2024-02-12 05:01:01 UTC
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