Idaho
Division of Occupational and Professional Licenses
JENNY LEA GUIVENS
Board Of Medicine
License number
D-471
Date granted
08/29/2005
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
HUMPHREYS DIABETES CENTER BOISE ID 83702
idaholicensing.com
ID 48352007
LAST UPDATED 2024-03-19 06:50:04 UTC
LAST UPDATED 2024-03-19 06:50:04 UTC
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