License holder summary

STEPHANIE LYNN HENDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHANIE LYNN HENDERSON is 1555 VERNON STREET BLACKFOOT ID 83221. This licensed professional license is not current. The license was granted 07/20/2010 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

STEPHANIE LYNN HENDERSON
Board Of Medicine
License number
D-629
Date granted
07/20/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
1555 VERNON STREET BLACKFOOT ID 83221
idaholicensing.com
ID 48352310
LAST UPDATED 2024-03-14 02:34:34 UTC

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