License holder summary

MS. LORI ANN DEJONG is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. LORI ANN DEJONG is 201 DEER LANE EVERGREEN CO 80439. This licensed professional license is not current. The license was granted 10/31/2011 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

MS. LORI ANN DEJONG
Board Of Medicine
License number
LRT-1584
Date granted
10/31/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
201 DEER LANE EVERGREEN CO 80439
idaholicensing.com
ID 48344959
LAST UPDATED 2024-03-22 16:05:30 UTC

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