JENNIFER RAUN LUCAS
Idaho PA-1422 Licensed
This Idaho license is held by JENNIFER RAUN LUCAS. The license is currently active. It was granted on 10/03/2016 and expired on 06/30/2018
LICENSE DETAILS
- License Number: PA-1422
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 10/03/2016 (over 7 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
4712 W GLENN ST BOISE ID 83705
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