License holder summary

JENNIFER LYNN BROCKETT is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIFER LYNN BROCKETT is 9225 W STONEHAM DR Garden City ID 83714. This licensed professional license is current. The license was granted 02/28/1992 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JENNIFER LYNN BROCKETT
Board Of Medicine
License number
LRT-317
Date granted
02/28/1992
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
9225 W STONEHAM DR Garden City ID 83714
idaholicensing.com
ID 48341633
LAST UPDATED 2024-03-22 19:54:04 UTC

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