Idaho
Division of Occupational and Professional Licenses
TIM W. GRENNAN
Board Of Medicine
License number
M-3770
Date granted
03/01/1978
Date expires
07/01/1977
Class
Board Of Medicine
Status
Canceled
Address
4429 B Larch Street Mountain Home A F B ID 83648
idaholicensing.com
ID 48351731
LAST UPDATED 2026-04-07 03:53:17 UTC
LAST UPDATED 2026-04-07 03:53:17 UTC
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