Idaho
Division of Occupational and Professional Licenses
JENNICE MARIE CORDOVA
Board Of Medicine
License number
PA-281
Date granted
12/01/1999
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
3277 E LOUISE DR STE 350 MERIDIAN ID 83642
idaholicensing.com
ID 48344242
LAST UPDATED 2024-03-02 16:36:44 UTC
LAST UPDATED 2024-03-02 16:36:44 UTC
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