Idaho
Division of Occupational and Professional Licenses
THERESA MARIE CONKLIN
Board Of Medicine
License number
LRT-1591
Date granted
11/10/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
335 W Mill Ave Coeur D Alene ID 83814
idaholicensing.com
ID 48344066
LAST UPDATED 2024-04-17 21:19:38 UTC
LAST UPDATED 2024-04-17 21:19:38 UTC
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