Idaho
Division of Occupational and Professional Licenses
JORDAN LEN MECHAM
Board Of Medicine
License number
PAT-659
Date granted
10/02/2008
Date expires
07/30/2010
Class
Board Of Medicine
Status
Expired
Address
205 N 400 W BLACKFOOT ID 83221
idaholicensing.com
ID 48346799
LAST UPDATED 2024-04-06 22:08:29 UTC
LAST UPDATED 2024-04-06 22:08:29 UTC
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