License holder summary

Dr. LESLIE Wilgus JACKSON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. LESLIE Wilgus JACKSON is St Alphonsus Medical Group Baker City OR 97814. This licensed professional license is current. The license was granted 04/09/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. LESLIE Wilgus JACKSON
Board Of Medicine
License number
M-11620
Date granted
04/09/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
St Alphonsus Medical Group Baker City OR 97814
idaholicensing.com
ID 48329374
LAST UPDATED 2024-02-10 03:51:27 UTC

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