Idaho
Division of Occupational and Professional Licenses
DANIEL R. JIMENEZ
Board Of Medicine
License number
M-3998
Date granted
07/20/1979
Date expires
07/02/1991
Class
Board Of Medicine
Status
Canceled
Address
2782 Red Fox Lane Freeport IL 61032
idaholicensing.com
ID 48349482
LAST UPDATED 2024-03-03 08:11:47 UTC
LAST UPDATED 2024-03-03 08:11:47 UTC
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