Idaho
Division of Occupational and Professional Licenses
ROY R HENNEBERG
Board Of Medicine
License number
M-4722
Date granted
12/05/1983
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
980 W IRONWOOD DR #201 COEUR D ALENE ID 83814
idaholicensing.com
ID 48346670
LAST UPDATED 2026-05-09 23:45:06 UTC
LAST UPDATED 2026-05-09 23:45:06 UTC
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