Idaho
Division of Occupational and Professional Licenses
Dr. LESLIE JACOB BENNY
Board Of Medicine
License number
MRO-1429
Date granted
06/27/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
98 POPLAR STREET BLACKFOOT ID 83221
idaholicensing.com
ID 48340567
LAST UPDATED 2024-02-05 14:53:19 UTC
LAST UPDATED 2024-02-05 14:53:19 UTC
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