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 2024-03-12 15:00:17 UTC
LAST UPDATED 2024-03-12 15:00:17 UTC
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