Idaho
Division of Occupational and Professional Licenses
Dr. JACOB ADAM MONG
Board Of Medicine
License number
O-0860
Date granted
04/13/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5680 WEST GAGE STREET BOISE ID 83706
idaholicensing.com
ID 48359284
LAST UPDATED 2024-03-22 19:23:11 UTC
LAST UPDATED 2024-03-22 19:23:11 UTC
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