Idaho
Division of Occupational and Professional Licenses
JEANNINE LYNNE KISSINGER
Board Of Medicine
License number
LRT-1349
Date granted
10/30/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2540 ROCK CREEK RD HANSEN ID 83334
idaholicensing.com
ID 48356185
LAST UPDATED 2024-02-11 10:15:17 UTC
LAST UPDATED 2024-02-11 10:15:17 UTC
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