MICHAEL G. HENDERSON
Idaho PA-491 Canceled
This Idaho license was held by MICHAEL G. HENDERSON. The license is no longer active. It was granted on 02/26/2004 and expired on 08/01/2008
LICENSE DETAILS
- License Number: PA-491
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/26/2004 (about 20 years ago)
- Expiry Date: 08/01/2008 (almost 16 years ago)
LOCATIONS
A Residential
1919 EAST 3060 SOUTH SALT LAKE CITY UT 84106