ANN JEAN EISENBRAUN
Idaho M-9506 Canceled
This Idaho license was held by ANN JEAN EISENBRAUN. The license is no longer active. It was granted on 03/03/2006 and expired on 08/01/2009
LICENSE DETAILS
- License Number: M-9506
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/03/2006 (over 20 years ago)
- Expiry Date: 08/01/2009 (almost 17 years ago)
LOCATIONS
A Residential
6440 WASATCH BLVD STE 105 SALT LAKE CITY UT 84121