Idaho
Division of Occupational and Professional Licenses
TRAVIS ROBERT HENMAN
Board Of Medicine
License number
PAT-1421
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
6636 W MORRIS HILL LN #102 BOISE ID 83704
idaholicensing.com
ID 48358230
LAST UPDATED 2024-03-01 11:45:51 UTC
LAST UPDATED 2024-03-01 11:45:51 UTC
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