Idaho
Division of Occupational and Professional Licenses
Dr. JERRY TANNER
Board Of Medicine
License number
M-13493
Date granted
10/21/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
1101 S 70TH ST LINCOLN NE 68510
idaholicensing.com
ID 48371506
LAST UPDATED 2024-04-21 18:44:57 UTC
LAST UPDATED 2024-04-21 18:44:57 UTC
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