License holder summary

ANISHA NICOLE JACKSON is a Board Of Medicine licensed to practice in Idaho. The address on file for ANISHA NICOLE JACKSON is 377 NE 7TH PL HILLSBORO OR 97124. This licensed professional license is not current. The license was granted 05/21/2008 and expired on 09/26/2008.

Idaho

Division of Occupational and Professional Licenses

ANISHA NICOLE JACKSON
Board Of Medicine
License number
PAT-616
Date granted
05/21/2008
Date expires
09/26/2008
Class
Board Of Medicine
Status
Expired
Address
377 NE 7TH PL HILLSBORO OR 97124
idaholicensing.com
ID 48329352
LAST UPDATED 2024-03-05 12:24:20 UTC

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