Idaho
Division of Occupational and Professional Licenses
JERRY W. TANNER
Board Of Medicine
License number
M-4813
Date granted
08/10/1984
Class
Board Of Medicine
Status
Canceled
Address
7541 Old Post Rd. #11 Lincoln NE 68506
idaholicensing.com
ID 48371507
LAST UPDATED 2026-05-03 04:17:25 UTC
LAST UPDATED 2026-05-03 04:17:25 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.