License holder summary

THOMAS WAYNE PENDERGRASS is a Board Of Medicine licensed to practice in Idaho. The address on file for THOMAS WAYNE PENDERGRASS is 13410 98th Ave. NE Kirkland WA 98034. This licensed professional license is not current. The license was granted 12/07/1996 and expired on 07/02/1997.

Idaho

Division of Occupational and Professional Licenses

THOMAS WAYNE PENDERGRASS
Board Of Medicine
License number
M-7145
Date granted
12/07/1996
Date expires
07/02/1997
Class
Board Of Medicine
Status
Canceled
Address
13410 98th Ave. NE Kirkland WA 98034
idaholicensing.com
ID 48351818
LAST UPDATED 2026-08-17 03:03:22 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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