License holder summary

Dr. MICHAEL RAYMOND DI BENEDETTO is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MICHAEL RAYMOND DI BENEDETTO is 30544 HWY 200 STE #102 PONDERAY ID 83852. This licensed professional license is current. The license was granted 08/19/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MICHAEL RAYMOND DI BENEDETTO
Board Of Medicine
License number
M-8578
Date granted
08/19/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
30544 HWY 200 STE #102 PONDERAY ID 83852
idaholicensing.com
ID 48345093
LAST UPDATED 2024-03-19 04:57:37 UTC

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