Idaho
Division of Occupational and Professional Licenses
THEODORE G. OBENCHAIN
Board Of Medicine
License number
M-3366
Date granted
07/13/1975
Date expires
07/13/1975
Class
Board Of Medicine
Status
Canceled
Address
16528 Corte Paulina Poway CA 92064
idaholicensing.com
ID 48335022
LAST UPDATED 2026-06-26 11:07:10 UTC
LAST UPDATED 2026-06-26 11:07:10 UTC
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