Idaho
Division of Occupational and Professional Licenses
TERRANCE CHARLES TISDALE
Board Of Medicine
License number
M-8312
Date granted
09/08/2001
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
750 SYRINGA, SUITE 101 POST FALLS ID 83854
idaholicensing.com
ID 48366164
LAST UPDATED 2024-02-27 07:31:53 UTC
LAST UPDATED 2024-02-27 07:31:53 UTC
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