License holder summary

JEAN ANN EDSALL is a Board Of Medicine licensed to practice in Idaho. The address on file for JEAN ANN EDSALL is 19 Roger St. Birkdale QLD 4159. This licensed professional license is not current. The license was granted 08/06/2004 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

JEAN ANN EDSALL
Board Of Medicine
License number
M-9099
Date granted
08/06/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
19 Roger St. Birkdale QLD 4159
idaholicensing.com
ID 48345891
LAST UPDATED 2024-03-24 09:48:42 UTC

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