Idaho
Division of Occupational and Professional Licenses
JACQUELINE MARIE HUMPHERYS
Board Of Medicine
License number
D-198
Date granted
01/11/1995
Date expires
07/14/1995
Class
Board Of Medicine
Status
Canceled
Address
415 East Halliday #1 Pocatello ID 83201
idaholicensing.com
ID 48353501
LAST UPDATED 2024-01-26 06:09:50 UTC
LAST UPDATED 2024-01-26 06:09:50 UTC
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