Idaho
Division of Occupational and Professional Licenses
SANDRA LEANN JENSEN
Board Of Medicine
License number
PGT-016
Date granted
05/14/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Upgraded
Address
11126 N River Rd PAYETTE ID 83661
idaholicensing.com
ID 48355614
LAST UPDATED 2024-03-16 01:07:11 UTC
LAST UPDATED 2024-03-16 01:07:11 UTC
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