License holder summary

Dr. JENNIFER Ann SOUTHARD is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JENNIFER Ann SOUTHARD is 6533 Emerald Street Boise ID 83704. This licensed professional license is current. The license was granted 03/18/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. JENNIFER Ann SOUTHARD
Board Of Medicine
License number
M-11245
Date granted
03/18/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6533 Emerald Street Boise ID 83704
idaholicensing.com
ID 48361777
LAST UPDATED 2024-03-16 23:11:34 UTC

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