License holder summary

GLEN J. CHURCH is a Board Of Medicine licensed to practice in Idaho. The address on file for GLEN J. CHURCH is 3903 Harrison Blvd. E-308 Ogden UT 84403. This licensed professional license is not current. The license was granted 03/14/1981.

Idaho

Division of Occupational and Professional Licenses

GLEN J. CHURCH
Board Of Medicine
License number
M-4296
Date granted
03/14/1981
Class
Board Of Medicine
Status
Deceased
Address
3903 Harrison Blvd. E-308 Ogden UT 84403
idaholicensing.com
ID 48353412
LAST UPDATED 2024-04-19 15:31:50 UTC

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