Idaho
Division of Occupational and Professional Licenses
Dr. EDWARD ALFONSO JORDAN
Board Of Medicine
License number
M-13104
Date granted
11/18/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
5395 S 1300 E OGDEN UT 84403
idaholicensing.com
ID 48355852
LAST UPDATED 2024-03-14 06:11:36 UTC
LAST UPDATED 2024-03-14 06:11:36 UTC
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