Idaho
Division of Occupational and Professional Licenses
Dr. PHILLIP DALE TEDRICK
Board Of Medicine
License number
O-0478
Date granted
04/23/2008
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
30 CHURCH ROAD READFIELD ME 04355
idaholicensing.com
ID 48345883
LAST UPDATED 2024-01-21 12:23:46 UTC
LAST UPDATED 2024-01-21 12:23:46 UTC
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