Idaho
Division of Occupational and Professional Licenses
TERI LYNN JACOBSEN
Board Of Medicine
License number
LRT-240
Date granted
01/10/1992
Date expires
06/30/2005
Class
Board Of Medicine
Status
Revoked
Address
720 Teton Ave Caldwell ID 83605
idaholicensing.com
ID 48329418
LAST UPDATED 2024-03-22 00:50:37 UTC
LAST UPDATED 2024-03-22 00:50:37 UTC
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