License holder summary

GLEN ALLEN BENNION is a Board Of Medicine licensed to practice in Idaho. The address on file for GLEN ALLEN BENNION is 13960 W WAINWRIGHT DR BOISE ID 83713. This licensed professional license is current. The license was granted 05/23/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

GLEN ALLEN BENNION
Board Of Medicine
License number
MSO-0202
Date granted
05/23/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
13960 W WAINWRIGHT DR BOISE ID 83713
idaholicensing.com
ID 48340563
LAST UPDATED 2026-06-03 01:25:49 UTC

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