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 2024-02-16 08:59:08 UTC
LAST UPDATED 2024-02-16 08:59:08 UTC
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