License holder summary

JACQUELINE MARIE HUMPHERYS is a Board Of Medicine licensed to practice in Idaho. The address on file for JACQUELINE MARIE HUMPHERYS is 415 East Halliday #1 Pocatello ID 83201. This licensed professional license is not current. The license was granted 01/11/1995 and expired on 07/14/1995.

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

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