License holder summary

Dr. RICKY JAY AXTELL is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. RICKY JAY AXTELL is 3301 N Sawgrass Way Boise ID 83704. This licensed professional license is current. The license was granted 05/20/2010 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. RICKY JAY AXTELL
Board Of Medicine
License number
M-10997
Date granted
05/20/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3301 N Sawgrass Way Boise ID 83704
idaholicensing.com
ID 48339580
LAST UPDATED 2024-05-11 07:50:07 UTC

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