JENNIFER RAUN LUCAS
Idaho PAT-1249 Expired
This Idaho license was held by JENNIFER RAUN LUCAS. The license is no longer active. It was granted on 09/25/2014 and expired on 08/05/2016
LICENSE DETAILS
- License Number: PAT-1249
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/25/2014 (over 10 years ago)
- Expiry Date: 08/05/2016 (almost 9 years ago)
LOCATIONS
A Residential
4712 W GLENN ST BOISE ID 83705