Idaho
Division of Occupational and Professional Licenses
TERESA ANNE GORDON
Board Of Medicine
License number
LRT-402
Date granted
05/27/1993
Date expires
07/03/1996
Class
Board Of Medicine
Status
Canceled
Address
P.O. Box 98064 Park City UT 84098
idaholicensing.com
ID 48345673
LAST UPDATED 2026-06-01 22:52:22 UTC
LAST UPDATED 2026-06-01 22:52:22 UTC
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