Idaho
Division of Occupational and Professional Licenses
JENNIFER ANN-MARIE GRINAGE
Board Of Medicine
License number
PA-1175
Date granted
07/01/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2315 8TH ST LEWISTON ID 83501
idaholicensing.com
ID 48334330
LAST UPDATED 2024-04-02 17:17:37 UTC
LAST UPDATED 2024-04-02 17:17:37 UTC
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