License holder summary

JACQUES LEO DASTOUS is a Board Of Medicine licensed to practice in Idaho. The address on file for JACQUES LEO DASTOUS is Fairfax Rd @ Virginia St SALT LAKE CITY UT 84103. This licensed professional license is current. The license was granted 11/05/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JACQUES LEO DASTOUS
Board Of Medicine
License number
M-7628
Date granted
11/05/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Fairfax Rd @ Virginia St SALT LAKE CITY UT 84103
idaholicensing.com
ID 48337731
LAST UPDATED 2024-03-15 17:11:25 UTC

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