Idaho
Division of Occupational and Professional Licenses
ELIZABETH JOANN JACOBSEN
Board Of Medicine
License number
PA-967
Date granted
02/22/2012
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1905 E Coeur d''Alene Avenue COEUR D ALENE ID 83814
idaholicensing.com
ID 48329414
LAST UPDATED 2024-03-06 06:23:38 UTC
LAST UPDATED 2024-03-06 06:23:38 UTC
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