License holder summary

THEODORE JAMES CHASE is a Board Of Medicine licensed to practice in Idaho. The address on file for THEODORE JAMES CHASE is PO BOX 1412 MILES CITY MT 59301. This licensed professional license is not current. The license was granted 10/06/2005 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

THEODORE JAMES CHASE
Board Of Medicine
License number
PA-577
Date granted
10/06/2005
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 1412 MILES CITY MT 59301
idaholicensing.com
ID 48337720
LAST UPDATED 2024-04-16 21:00:00 UTC

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