Idaho
Division of Occupational and Professional Licenses
Dr. THERESA ANN HENNESSEY
Board Of Medicine
License number
M-11353
Date granted
06/23/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
SHRINERS HOSPITAL FOR CHILDREN SALT LAKE CITY UT 84103
idaholicensing.com
ID 48349368
LAST UPDATED 2024-04-05 12:52:41 UTC
LAST UPDATED 2024-04-05 12:52:41 UTC
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