Idaho
Division of Occupational and Professional Licenses
JENNIFER LEWIS PREUCIL
Board Of Medicine
License number
M-7812
Date granted
07/23/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2550 Addison Ave E Ste B TWIN FALLS ID 83301
idaholicensing.com
ID 48343377
LAST UPDATED 2026-04-13 23:55:35 UTC
LAST UPDATED 2026-04-13 23:55:35 UTC
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