Idaho
Division of Occupational and Professional Licenses
DEWARD ANTHONY HENNEBERG
Board Of Medicine
License number
M-4371
Date granted
10/24/1981
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
980 W IRONWOOD DR #201 COEUR D ALENE ID 83814
idaholicensing.com
ID 48346668
LAST UPDATED 2024-03-01 13:16:26 UTC
LAST UPDATED 2024-03-01 13:16:26 UTC
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