License holder summary

JENNIE WALKER ECKSTROM is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIE WALKER ECKSTROM is 777 N Raymond St Boise ID 83704. This licensed professional license is not current. The license was granted 09/02/2004 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

JENNIE WALKER ECKSTROM
Board Of Medicine
License number
M-9143
Date granted
09/02/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
777 N Raymond St Boise ID 83704
idaholicensing.com
ID 48343492
LAST UPDATED 2024-03-19 15:33:06 UTC

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