Idaho
Division of Occupational and Professional Licenses
JENNIFER KAY EICKSTADT
Board Of Medicine
License number
PA-880
Date granted
12/01/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5720 N LINCOLN SPOKANE WA 99205
idaholicensing.com
ID 48329863
LAST UPDATED 2024-03-14 04:02:47 UTC
LAST UPDATED 2024-03-14 04:02:47 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.