Idaho
Division of Occupational and Professional Licenses
JENNY ALICIA PHILLIPS
Board Of Medicine
License number
RTS-788
Date granted
04/06/2016
Date expires
10/16/2017
Class
Board Of Medicine
Status
Licensed
Address
5112 E LOWE RD MEAD WA 99021
idaholicensing.com
ID 48352533
LAST UPDATED 2024-04-15 19:01:22 UTC
LAST UPDATED 2024-04-15 19:01:22 UTC
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