Idaho
Division of Occupational and Professional Licenses
TERRY ALLEN CONKLIN
Board Of Medicine
License number
M-9919
Date granted
05/01/2007
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
1909 HUCKLEBERRY DR SEASIDE OR 97138
idaholicensing.com
ID 48344065
LAST UPDATED 2024-02-22 19:13:28 UTC
LAST UPDATED 2024-02-22 19:13:28 UTC
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