Idaho
Division of Occupational and Professional Licenses
Dr. CHRISTOPHER Lloyd BERENTZEN
Board Of Medicine
License number
M-12003
Date granted
05/13/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
500 E 1400 N Logan UT 84341
idaholicensing.com
ID 48340602
LAST UPDATED 2024-03-13 21:49:57 UTC
LAST UPDATED 2024-03-13 21:49:57 UTC
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