License holder summary

GLENN E JEFFERSON Jr. is a Board Of Medicine licensed to practice in Idaho. The address on file for GLENN E JEFFERSON Jr. is 2315 8th St LEWISTON ID 83501. This licensed professional license is current. The license was granted 01/24/1983 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

GLENN E JEFFERSON Jr.
Board Of Medicine
License number
M-4593
Date granted
01/24/1983
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2315 8th St LEWISTON ID 83501
idaholicensing.com
ID 48347277
LAST UPDATED 2024-03-28 19:56:02 UTC

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