License holder summary

MARY JEANE MCCULLOUGH is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY JEANE MCCULLOUGH is 2091 Highland Drive BLACKFOOT ID 83221. This licensed professional license is current. The license was granted 02/07/1992 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MARY JEANE MCCULLOUGH
Board Of Medicine
License number
LRT-292
Date granted
02/07/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2091 Highland Drive BLACKFOOT ID 83221
idaholicensing.com
ID 48342645
LAST UPDATED 2026-04-30 18:56:57 UTC

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