Idaho
Division of Occupational and Professional Licenses
RANDALL DAVID JENKINS
Board Of Medicine
License number
M-6943
Date granted
03/02/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
222 North 2nd Street Boise ID 83702
idaholicensing.com
ID 48355559
LAST UPDATED 2024-02-28 04:22:33 UTC
LAST UPDATED 2024-02-28 04:22:33 UTC
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