License holder summary

JERRY W. TANNER is a Board Of Medicine licensed to practice in Idaho. The address on file for JERRY W. TANNER is 7541 Old Post Rd. #11 Lincoln NE 68506. This licensed professional license is not current. The license was granted 08/10/1984.

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 2024-03-31 08:02:43 UTC

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