Idaho
Division of Occupational and Professional Licenses
GLENN MARTIN MEDBERRY
Board Of Medicine
License number
PA-160
Date granted
05/22/1995
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
911 41st St NW Apt 106 Rochester MN 55901
idaholicensing.com
ID 48344755
LAST UPDATED 2024-02-16 08:56:10 UTC
LAST UPDATED 2024-02-16 08:56:10 UTC
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