Idaho
Division of Occupational and Professional Licenses
THERESA LEA CANTRELL DAMBROSIO
Board Of Medicine
License number
LRT-228
Date granted
01/10/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
12597 West Driftwood Drive Boise ID 83713
idaholicensing.com
ID 48336359
LAST UPDATED 2026-04-19 14:38:07 UTC
LAST UPDATED 2026-04-19 14:38:07 UTC
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