License holder summary

TENLEY JEAN RIVERA is a Board Of Medicine licensed to practice in Idaho. The address on file for TENLEY JEAN RIVERA is 500 W. FORT ST BLDG 116 BOISE ID 83702. This licensed professional license is not current. The license was granted 06/10/2014 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

TENLEY JEAN RIVERA
Board Of Medicine
License number
MRM-1415
Date granted
06/10/2014
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
500 W. FORT ST BLDG 116 BOISE ID 83702
idaholicensing.com
ID 48355430
LAST UPDATED 2024-04-02 17:27:28 UTC

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