Idaho
Division of Occupational and Professional Licenses
JENNA LYNN MAFFEY
Board Of Medicine
License number
PA-929
Date granted
09/15/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11197 W. Fairview Avenue Boise ID 83713
idaholicensing.com
ID 48334132
LAST UPDATED 2024-02-12 20:54:50 UTC
LAST UPDATED 2024-02-12 20:54:50 UTC
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