Idaho
Division of Occupational and Professional Licenses
JENNIE WALKER ECKSTROM
Board Of Medicine
License number
M-9143
Date granted
09/02/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
777 N Raymond St Boise ID 83704
idaholicensing.com
ID 48343492
LAST UPDATED 2024-02-08 08:09:54 UTC
LAST UPDATED 2024-02-08 08:09:54 UTC
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