Idaho
Division of Occupational and Professional Licenses
TIM BYRON MENDENHALL
Board Of Medicine
License number
LRT-422
Date granted
11/04/1993
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
7077 Desert Ave Boise ID 83709
idaholicensing.com
ID 48358375
LAST UPDATED 2024-03-06 09:21:12 UTC
LAST UPDATED 2024-03-06 09:21:12 UTC
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