JESSICA DEE BASTIAN
Idaho Board Of Psychologist Examiners - Service Extender
Idaho SE - 202641 Not Current
This Idaho license was held by JESSICA DEE BASTIAN. The license is no longer active. It was granted on 12/01/2011 and expired on 12/01/2012
LICENSE DETAILS
- License Number: SE - 202641
- Category: SERVICE EXTENDER
- Status: Not Current
- Date Granted: 12/01/2011 (over 13 years ago)
- Expiry Date: 12/01/2012 (over 12 years ago)
LOCATIONS
A Address
BOISE ID 83701