Idaho
Division of Occupational and Professional Licenses
JANIE KRISTIN SOUTHERN
Board Of Medicine
License number
LRT-1366
Date granted
05/04/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5343 W MCMURTREY ST Meridian ID 83646
idaholicensing.com
ID 48361778
LAST UPDATED 2024-04-20 13:35:17 UTC
LAST UPDATED 2024-04-20 13:35:17 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.