License holder summary

Dr. JUSTIN JACKSON ROSENAU is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JUSTIN JACKSON ROSENAU is 777 N. RAYMOND STREET BOISE ID 83704. This licensed professional license is not current. The license was granted 10/20/2014 and expired on 08/01/2016.

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

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