Idaho
Division of Occupational and Professional Licenses
JENNIFER LYNN CHAPMAN
Board Of Medicine
License number
LRT-1081
Date granted
11/02/2004
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
845 S 13TH E MOUNTAIN HOME ID 83647
idaholicensing.com
ID 48337041
LAST UPDATED 2024-04-26 00:44:07 UTC
LAST UPDATED 2024-04-26 00:44:07 UTC
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