License holder summary

JENNIFER LYNN STREET is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIFER LYNN STREET is 4970 S 350 E #H8 OGDEN UT 84405. This licensed professional license is not current. The license was granted 12/12/2000 and expired on 07/02/2002.

Idaho

Division of Occupational and Professional Licenses

JENNIFER LYNN STREET
Board Of Medicine
License number
D-353
Date granted
12/12/2000
Date expires
07/02/2002
Class
Board Of Medicine
Status
Canceled
Address
4970 S 350 E #H8 OGDEN UT 84405
idaholicensing.com
ID 48371839
LAST UPDATED 2024-04-13 07:21:14 UTC

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