Idaho
Division of Occupational and Professional Licenses
CAROLYN GARDNER JENKS
Board Of Medicine
License number
PGD-028
Date granted
06/05/2008
Date expires
06/30/2009
Class
Board Of Medicine
Status
Expired
Address
1013 EASTVIEW DR RIVERTON WY 82501
idaholicensing.com
ID 48355568
LAST UPDATED 2024-04-16 01:07:04 UTC
LAST UPDATED 2024-04-16 01:07:04 UTC
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