Idaho
Division of Occupational and Professional Licenses
JACK P SUMMERS
Board Of Medicine
License number
M-3586
Date granted
01/18/1977
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5418 W Buckskin Rd Pocatello ID 83201
idaholicensing.com
ID 48359196
LAST UPDATED 2024-04-20 23:40:13 UTC
LAST UPDATED 2024-04-20 23:40:13 UTC
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