License holder summary

TERRY L HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for TERRY L HANSEN is 1505 Partridge Cove Pocatello ID 83201. This licensed professional license is not current. The license was granted 01/23/1963 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

TERRY L HANSEN
Board Of Medicine
License number
M-2604
Date granted
01/23/1963
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1505 Partridge Cove Pocatello ID 83201
idaholicensing.com
ID 48360725
LAST UPDATED 2024-02-17 18:31:53 UTC

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