Idaho
Division of Occupational and Professional Licenses
SUSAN MICHELLE JENNINGS
Board Of Medicine
License number
LRT-692
Date granted
03/03/1998
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
PO Box 3442 Moscow ID 83843
idaholicensing.com
ID 48351846
LAST UPDATED 2024-03-19 14:04:26 UTC
LAST UPDATED 2024-03-19 14:04:26 UTC
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