Idaho
Division of Occupational and Professional Licenses
GLENN E JEFFERSON Jr.
Board Of Medicine
License number
M-4593
Date granted
01/24/1983
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2315 8th St LEWISTON ID 83501
idaholicensing.com
ID 48347277
LAST UPDATED 2024-03-17 02:09:39 UTC
LAST UPDATED 2024-03-17 02:09:39 UTC
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