Idaho
Division of Occupational and Professional Licenses
JENNIFER D JENSEN
Board Of Medicine
License number
AT-304
Date granted
07/20/2007
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2612 E GREENBACK LN IDAHO FALLS ID 83401
idaholicensing.com
ID 48355589
LAST UPDATED 2024-02-16 23:21:52 UTC
LAST UPDATED 2024-02-16 23:21:52 UTC
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