License holder summary

MICHAEL PATRICK BRENNEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL PATRICK BRENNEN is SE ID SDC--Portneuf Medical Center POCATELLO ID 83201. This licensed professional license is not current. The license was granted 11/13/2003 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

MICHAEL PATRICK BRENNEN
Board Of Medicine
License number
PSG-001
Date granted
11/13/2003
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
SE ID SDC--Portneuf Medical Center POCATELLO ID 83201
idaholicensing.com
ID 48341521
LAST UPDATED 2024-05-05 12:39:40 UTC

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