JENNICE MARIE CORDOVA
Idaho PA-281 Canceled
This Idaho license was held by JENNICE MARIE CORDOVA. The license is no longer active. It was granted on 12/01/1999 and expired on 08/01/2012
LICENSE DETAILS
- License Number: PA-281
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/01/1999 (over 24 years ago)
- Expiry Date: 08/01/2012 (almost 12 years ago)
LOCATIONS
A Residential
3277 E LOUISE DR STE 350 MERIDIAN ID 83642