D GALE HENRIKSEN

Idaho  M-3039   Deceased

This Idaho license was held by D GALE HENRIKSEN. The license is no longer active. It was granted on 01/09/1972 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: M-3039
  • Category: Board Of Medicine
  • Status: Deceased
  • Date Granted: 01/09/1972 (about 53 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Residential

PO Box 1244 Polson MT 59860