License holder summary

Dr. MANUEL Jose CACERES is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MANUEL Jose CACERES is 3100 CHANNING WAY IDAHO FALLS ID 83404. This licensed professional license is not current. The license was granted 09/03/2013 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. MANUEL Jose CACERES
Board Of Medicine
License number
M-12153
Date granted
09/03/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3100 CHANNING WAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48329285
LAST UPDATED 2024-02-03 13:18:59 UTC

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