License holder summary

JAMIE NICHOLE GRANDSTAFF is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMIE NICHOLE GRANDSTAFF is 10076 W WHITECREST ST Star ID 83669. This licensed professional license is current. The license was granted 07/07/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JAMIE NICHOLE GRANDSTAFF
Board Of Medicine
License number
LRT-1177
Date granted
07/07/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
10076 W WHITECREST ST Star ID 83669
idaholicensing.com
ID 48334100
LAST UPDATED 2024-02-14 14:54:01 UTC

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