Idaho
Division of Occupational and Professional Licenses
ALEXANDER JACKSON HALL
Board Of Medicine
License number
PAT-1262
Date granted
10/02/2014
Date expires
03/13/2015
Class
Board Of Medicine
Status
Expired
Address
16393 N 99TH PLACE SCOTTSDALE AZ 85260
idaholicensing.com
ID 48352230
LAST UPDATED 2024-03-27 20:59:46 UTC
LAST UPDATED 2024-03-27 20:59:46 UTC
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