Utah
Division of Occupational and Professional Licensing
JACKIE JOLENE WHITESELL
Physician - Physician & Surgeon
License number
6994930-1205
Date granted
05/21/2008
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
BOISE, ID 83702
utahlicensing.org
ID 29925193
LAST UPDATED 2024-04-07 17:50:53 UTC
LAST UPDATED 2024-04-07 17:50:53 UTC
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