License holder summary

Dr. JACOB PAUL FORKE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JACOB PAUL FORKE is 344 STENDAL RD LEWISTOWN MT 59457. This licensed professional license is not current. The license was granted 11/02/2011 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

Dr. JACOB PAUL FORKE
Board Of Medicine
License number
M-11478
Date granted
11/02/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
344 STENDAL RD LEWISTOWN MT 59457
idaholicensing.com
ID 48350143
LAST UPDATED 2024-05-05 16:21:02 UTC

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