License holder summary

ANN JEAN EISENBRAUN is a Board Of Medicine licensed to practice in Idaho. The address on file for ANN JEAN EISENBRAUN is 6440 WASATCH BLVD STE 105 SALT LAKE CITY UT 84121. This licensed professional license is not current. The license was granted 03/03/2006 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

ANN JEAN EISENBRAUN
Board Of Medicine
License number
M-9506
Date granted
03/03/2006
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
6440 WASATCH BLVD STE 105 SALT LAKE CITY UT 84121
idaholicensing.com
ID 48338571
LAST UPDATED 2024-03-20 17:27:05 UTC

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