Idaho
Division of Occupational and Professional Licenses
Dr. JENNIFER KATHRYN LEWIS
Board Of Medicine
License number
M-13350
Date granted
06/22/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48349124
LAST UPDATED 2024-03-29 08:43:59 UTC
LAST UPDATED 2024-03-29 08:43:59 UTC
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