Idaho
Division of Occupational and Professional Licenses
JENNIFER LEATHA ELLIOTT
Board Of Medicine
License number
O-0703
Date granted
03/04/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1150 Hungryneck Blvd Ste C339 Mt Pleasant SC 29464
idaholicensing.com
ID 48354712
LAST UPDATED 2024-05-13 02:37:48 UTC
LAST UPDATED 2024-05-13 02:37:48 UTC
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