STEPHEN LOUIS BRENNEKE
Idaho M-9042 Renewed
This Idaho license is held by STEPHEN LOUIS BRENNEKE. The license is currently active. It was granted on 05/14/2004 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-9042
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 05/14/2004 (almost 21 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
22262 S Thompson Gateway Road Oregon City OR 97045
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