Idaho
Division of Occupational and Professional Licenses
JEFFREY LYNN ELLIS
Board Of Medicine
License number
LRT-1511
Date granted
04/07/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2178 Bodily Idaho Falls ID 83401
idaholicensing.com
ID 48355167
LAST UPDATED 2024-02-28 22:05:28 UTC
LAST UPDATED 2024-02-28 22:05:28 UTC
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