JENIFER RAE BEMBOOM
Idaho D-616 Canceled
This Idaho license was held by JENIFER RAE BEMBOOM. The license is no longer active. It was granted on 12/21/2009 and expired on 08/03/2015
LICENSE DETAILS
- License Number: D-616
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/21/2009 (over 14 years ago)
- Expiry Date: 08/03/2015 (almost 9 years ago)
LOCATIONS
A Residential
500 E 52nd Street N Sioux Falls SD 57104