License holder summary

HENRY THEORDORE LEIS is a Board Of Medicine licensed to practice in Idaho. The address on file for HENRY THEORDORE LEIS is 9342 Pinkerton Way San Antonio TX 78250. This licensed professional license is not current. The license was granted 01/25/1996 and expired on 06/01/1995.

Idaho

Division of Occupational and Professional Licenses

HENRY THEORDORE LEIS
Board Of Medicine
License number
MI-6923
Date granted
01/25/1996
Date expires
06/01/1995
Class
Board Of Medicine
Status
Canceled
Address
9342 Pinkerton Way San Antonio TX 78250
idaholicensing.com
ID 48347731
LAST UPDATED 2024-03-15 20:10:28 UTC

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