License holder summary

JEREMY DALE ANDRA is a Board Of Medicine licensed to practice in Idaho. The address on file for JEREMY DALE ANDRA is 2441 E 240 S SAINT GEORGE UT 84790. This licensed professional license is not current. The license was granted 12/31/2003 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

JEREMY DALE ANDRA
Board Of Medicine
License number
PSG-008
Date granted
12/31/2003
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
2441 E 240 S SAINT GEORGE UT 84790
idaholicensing.com
ID 48336724
LAST UPDATED 2024-02-15 12:09:23 UTC

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