Idaho
Division of Occupational and Professional Licenses
JENNIFER VALERIE MELENA
Board Of Medicine
License number
AT-409
Date granted
09/07/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
809 PERSHING ST SANTA MARIA CA 93458
idaholicensing.com
ID 48358360
LAST UPDATED 2024-02-10 18:43:20 UTC
LAST UPDATED 2024-02-10 18:43:20 UTC
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