JENNIFER D JENSEN
Idaho AT-304 Canceled
This Idaho license was held by JENNIFER D JENSEN. The license is no longer active. It was granted on 07/20/2007 and expired on 08/01/2013
LICENSE DETAILS
- License Number: AT-304
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/20/2007 (about 19 years ago)
- Expiry Date: 08/01/2013 (about 13 years ago)
LOCATIONS
A Residential
2612 E GREENBACK LN IDAHO FALLS ID 83401