License holder summary

JAMES THEODORE DODGE JR. is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMES THEODORE DODGE JR. is 112 E MOUNTAIN BROOK LN WENATCHEE WA 98801. This licensed professional license is not current. The license was granted 08/24/2006 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

JAMES THEODORE DODGE JR.
Board Of Medicine
License number
M-9689
Date granted
08/24/2006
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
112 E MOUNTAIN BROOK LN WENATCHEE WA 98801
idaholicensing.com
ID 48345009
LAST UPDATED 2024-04-04 01:38:54 UTC

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