Idaho
Division of Occupational and Professional Licenses
JEAN CLAIRE HENDERSON
Board Of Medicine
License number
M-9030
Date granted
04/19/2004
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
2658 NW Cornell Rd. PORTLAND OR 97210
idaholicensing.com
ID 48352306
LAST UPDATED 2024-03-23 22:04:08 UTC
LAST UPDATED 2024-03-23 22:04:08 UTC
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