Idaho
Division of Occupational and Professional Licenses
JARED N MUDGE
Board Of Medicine
License number
LRT-1436
Date granted
04/09/2010
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
807 East Shasta Post Falls ID 83854
idaholicensing.com
ID 48345045
LAST UPDATED 2024-02-22 11:52:58 UTC
LAST UPDATED 2024-02-22 11:52:58 UTC
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