Idaho
Division of Occupational and Professional Licenses
JENNIFER RAE MILLINGTON
Board Of Medicine
License number
AT-254
Date granted
12/14/2004
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
765 LOSEY BLVD N LA CROSSE WI 54601
idaholicensing.com
ID 48351907
LAST UPDATED 2024-03-02 03:49:40 UTC
LAST UPDATED 2024-03-02 03:49:40 UTC
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