License holder summary

DR. JASON MARK ELLISON is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. JASON MARK ELLISON is 3664 W TABASCO TRAIL LN EAGLE ID 83616. This licensed professional license is current. The license was granted 08/04/2008 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

DR. JASON MARK ELLISON
Board Of Medicine
License number
M-10380
Date granted
08/04/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3664 W TABASCO TRAIL LN EAGLE ID 83616
idaholicensing.com
ID 48355179
LAST UPDATED 2024-02-20 07:11:05 UTC

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