License holder summary

JACOB MANUEL MONSIVAIS is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB MANUEL MONSIVAIS is 1251 BARTS WAY BLDG 57 APT F5 POCATELLO ID 83209. This licensed professional license is not current. The license was granted 10/02/2008 and expired on 07/30/2010.

Idaho

Division of Occupational and Professional Licenses

JACOB MANUEL MONSIVAIS
Board Of Medicine
License number
PAT-660
Date granted
10/02/2008
Date expires
07/30/2010
Class
Board Of Medicine
Status
Expired
Address
1251 BARTS WAY BLDG 57 APT F5 POCATELLO ID 83209
idaholicensing.com
ID 48335017
LAST UPDATED 2024-04-12 07:17:43 UTC

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