Idaho
Division of Occupational and Professional Licenses
JENIFER RAE BEMBOOM
Board Of Medicine
License number
D-616
Date granted
12/21/2009
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
500 E 52nd Street N Sioux Falls SD 57104
idaholicensing.com
ID 48340520
LAST UPDATED 2024-02-18 00:11:35 UTC
LAST UPDATED 2024-02-18 00:11:35 UTC
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