License holder summary

JILL SHANNON CORRELL is a Board Of Medicine licensed to practice in Idaho. The address on file for JILL SHANNON CORRELL is 9814 W OWNBY DR NINE MILE FALLS WA 99026. This licensed professional license is current. The license was granted 11/01/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JILL SHANNON CORRELL
Board Of Medicine
License number
D-961
Date granted
11/01/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
9814 W OWNBY DR NINE MILE FALLS WA 99026
idaholicensing.com
ID 48348054
LAST UPDATED 2024-02-27 18:43:13 UTC

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