License holder summary

TRACEY LORRAINE HENRY is a Board Of Medicine licensed to practice in Idaho. The address on file for TRACEY LORRAINE HENRY is 9606 W IRVING ST BOISE ID 83704. This licensed professional license is current. The license was granted 07/15/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TRACEY LORRAINE HENRY
Board Of Medicine
License number
LRT-932
Date granted
07/15/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
9606 W IRVING ST BOISE ID 83704
idaholicensing.com
ID 48360637
LAST UPDATED 2026-03-30 23:48:46 UTC

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