License holder summary

JENNIFER RENEE PREPUTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIFER RENEE PREPUTIN is 17201 31ST STREET KP N LAKEBAY WA 98349. This licensed professional license is not current. The license was granted 10/29/2003 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

JENNIFER RENEE PREPUTIN
Board Of Medicine
License number
LRT-1032
Date granted
10/29/2003
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
17201 31ST STREET KP N LAKEBAY WA 98349
idaholicensing.com
ID 48348381
LAST UPDATED 2026-05-14 11:35:51 UTC

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