JOHANNA MARIE JENSEN
Idaho M-9011 Renewed
This Idaho license is held by JOHANNA MARIE JENSEN. The license is currently active. It was granted on 03/31/2004 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-9011
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 03/31/2004 (about 21 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
1615 12th Ave S NAMPA ID 83686
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