Idaho
Division of Occupational and Professional Licenses
JENNELLE ASHLEY THOMPSON
Board Of Medicine
License number
PAT-1205
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
1805 E OVERLAND RD BLDG 27 UNIT 11 MERIDIAN ID 83642
idaholicensing.com
ID 48359529
LAST UPDATED 2024-01-13 07:13:02 UTC
LAST UPDATED 2024-01-13 07:13:02 UTC
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