License holder summary

JENNIFER RAUN LUCAS is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIFER RAUN LUCAS is 4712 W GLENN ST BOISE ID 83705. This licensed professional license is current. The license was granted 10/03/2016 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JENNIFER RAUN LUCAS
Board Of Medicine
License number
PA-1422
Date granted
10/03/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
4712 W GLENN ST BOISE ID 83705
idaholicensing.com
ID 48337959
LAST UPDATED 2024-04-02 20:45:47 UTC

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