Idaho
Division of Occupational and Professional Licenses
VICKI LYNN HENDERSON
Board Of Medicine
License number
M-7103
Date granted
09/07/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
905 Franklin Waterloo IA 50703
idaholicensing.com
ID 48352311
LAST UPDATED 2024-03-31 13:22:59 UTC
LAST UPDATED 2024-03-31 13:22:59 UTC
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