ANN JEAN EISENBRAUN
Idaho TLM-3678 Upgraded
This Idaho license was held by ANN JEAN EISENBRAUN. The license is no longer active. It was granted on 11/21/2005
LICENSE DETAILS
- License Number: TLM-3678
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/21/2005 (over 20 years ago)
LOCATIONS
A Residential
6440 WASATCH BLVD STE 105 SALT LAKE CITY UT 84121