Idaho
Division of Occupational and Professional Licenses
REBA ELAINE HENDRIX
Board Of Medicine
License number
LRT-1616
Date granted
04/24/2012
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
406 W BRIDGES RD DEER PARK WA 99006
idaholicensing.com
ID 48345831
LAST UPDATED 2026-04-14 14:20:12 UTC
LAST UPDATED 2026-04-14 14:20:12 UTC
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