Idaho
Division of Occupational and Professional Licenses
JESSICA LEANNE SALLSTROM
Board Of Medicine
License number
MSO-0214
Date granted
06/24/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
777 N RAYMOND ST BOISE ID 83704
idaholicensing.com
ID 48357738
LAST UPDATED 2026-04-05 04:35:19 UTC
LAST UPDATED 2026-04-05 04:35:19 UTC
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