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 2026-04-17 15:54:32 UTC
LAST UPDATED 2026-04-17 15:54:32 UTC
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