Idaho
Division of Occupational and Professional Licenses
JACK AUSTIN LARIMER
Board Of Medicine
License number
MI-5109
Date granted
07/11/1986
Date expires
07/01/1968
Class
Board Of Medicine
Status
Canceled
Address
Box 610 Teton Village WY 83025
idaholicensing.com
ID 48354552
LAST UPDATED 2024-03-09 09:25:29 UTC
LAST UPDATED 2024-03-09 09:25:29 UTC
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