Idaho
Division of Occupational and Professional Licenses
THEODORE GUY OBENCHAIN
Board Of Medicine
License number
M-8756
Date granted
03/08/2003
Class
Board Of Medicine
Status
Canceled
Address
10491 Sunshower Place Highlands Ranch CO 80126
idaholicensing.com
ID 48335023
LAST UPDATED 2024-04-27 07:18:36 UTC
LAST UPDATED 2024-04-27 07:18:36 UTC
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