MICHAEL G. HENDERSON

Idaho  PAI-491   Active

This Idaho license is held by MICHAEL G. HENDERSON. The license is currently active. It was granted on 02/26/2004 and expired on 06/30/2006

LICENSE DETAILS

  • License Number: PAI-491
  • Category: Board Of Medicine
  • Status: Active
  • Date Granted: 02/26/2004 (about 20 years ago)
  • Expiry Date: 06/30/2006 (almost 18 years ago)

LOCATIONS

A Residential

1919 EAST 3060 SOUTH SALT LAKE CITY UT 84106