License holder summary

JERALYN ELLICE BROSSFIELD is a Board Of Medicine licensed to practice in Idaho. The address on file for JERALYN ELLICE BROSSFIELD is 1800 Lincoln Way Coeur d Alene ID 83814. This licensed professional license is not current. The license was granted 09/09/2000 and expired on 06/30/2002.

Idaho

Division of Occupational and Professional Licenses

JERALYN ELLICE BROSSFIELD
Board Of Medicine
License number
M-8079
Date granted
09/09/2000
Date expires
06/30/2002
Class
Board Of Medicine
Status
Canceled
Address
1800 Lincoln Way Coeur d Alene ID 83814
idaholicensing.com
ID 48341702
LAST UPDATED 2024-03-31 23:58:11 UTC

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