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Licensing details for: PTL 6125

Name: HOU, JENNIFER

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: University of Illinois College of Medicine

Graduation Year: 2021

Current Enrolled Postgraduate Training Program

Facility Name: SCRIPPS CLINIC/SCRIPPS GREEN HOSPITAL PROGRAM

City: La Jolla

State: California

Speciality: Internal Medicine

Start Date: 06/22/2021

Anticipated End Date: 06/30/2024

Address of Record

10666 N Torrey Pines Rd
LA JOLLA CA 92037-1027
SAN DIEGO county
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Issuance Date

July 28, 2021

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:52:22 PM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: HOU, JENNIFER

License/Registration Type: Physician's and Surgeon's

License Number: 186450 Primary Status: License Renewed & Current

Address :
Riverside Community Hospital
4445 Magnolia Ave
RIVERSIDE CA 92501
RIVERSIDE COUNTY

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