Idaho
Division of Occupational and Professional Licenses
KERI L JENSEN
Board Of Medicine
License number
LRT-749
Date granted
12/24/1998
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
425 Bradford St #1 MOUNTAIN HOME ID 83647
idaholicensing.com
ID 48355596
LAST UPDATED 2024-02-16 18:39:28 UTC
LAST UPDATED 2024-02-16 18:39:28 UTC
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