Idaho
Division of Occupational and Professional Licenses
JACK HARRELL THOMPSON
Board Of Medicine
License number
PA-174
Date granted
12/22/1995
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
PO Box 57 Terreton ID 83450
idaholicensing.com
ID 48359525
LAST UPDATED 2024-04-23 10:10:46 UTC
LAST UPDATED 2024-04-23 10:10:46 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.