License holder summary

MICHAEL G. HENDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL G. HENDERSON is 1919 EAST 3060 SOUTH SALT LAKE CITY UT 84106. This licensed professional license is not current. The license was granted 02/26/2004 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

MICHAEL G. HENDERSON
Board Of Medicine
License number
PA-491
Date granted
02/26/2004
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
1919 EAST 3060 SOUTH SALT LAKE CITY UT 84106
idaholicensing.com
ID 48352307
LAST UPDATED 2024-02-06 21:47:36 UTC

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