Idaho
Division of Occupational and Professional Licenses
Dr. JASON LEE ANDERSEN
Board Of Medicine
License number
O-0961
Date granted
06/07/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
455 E. OCAMPO LANE ELK RIDGE UT 84651
idaholicensing.com
ID 48336566
LAST UPDATED 2024-04-14 09:26:25 UTC
LAST UPDATED 2024-04-14 09:26:25 UTC
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