Idaho
Division of Occupational and Professional Licenses
TODD DEWITT HINE
Board Of Medicine
License number
AT-233
Date granted
10/28/2003
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
2837 N Mule Deer Way MERIDIAN ID 83646
idaholicensing.com
ID 48352425
LAST UPDATED 2024-03-18 12:59:06 UTC
LAST UPDATED 2024-03-18 12:59:06 UTC
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