Idaho
Division of Occupational and Professional Licenses
Dr. JUSTIN JACKSON ROSENAU
Board Of Medicine
License number
M-12680
Date granted
10/20/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48338827
LAST UPDATED 2024-03-15 21:08:04 UTC
LAST UPDATED 2024-03-15 21:08:04 UTC
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