Idaho
Division of Occupational and Professional Licenses
ELISHA ANN JIMENEZ
Board Of Medicine
License number
PA-1137
Date granted
11/26/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1512 12th Avenue Road Nampa ID 83686
idaholicensing.com
ID 48349483
LAST UPDATED 2024-03-26 01:33:11 UTC
LAST UPDATED 2024-03-26 01:33:11 UTC
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