Idaho
Division of Occupational and Professional Licenses
JENNIFER JEANNE WALLACE-GILSTRAP
Board Of Medicine
License number
LRT-734
Date granted
09/03/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
18403 E 4th Ave GREENACRES WA 99016
idaholicensing.com
ID 48337146
LAST UPDATED 2026-05-05 06:36:14 UTC
LAST UPDATED 2026-05-05 06:36:14 UTC
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