Idaho
Division of Occupational and Professional Licenses
RICHARD D GENTZLER
Board Of Medicine
License number
M-10013
Date granted
07/21/2007
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
310 E 4500 S SUITE 300 SALT LAKE CITY UT 84107
idaholicensing.com
ID 48350815
LAST UPDATED 2024-04-08 09:04:08 UTC
LAST UPDATED 2024-04-08 09:04:08 UTC
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