Idaho
Division of Occupational and Professional Licenses
JACK TRAVIS KING
Board Of Medicine
License number
LRT-830
Date granted
09/14/2000
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
109 MARY DR ELK CITY OK 73644
idaholicensing.com
ID 48356124
LAST UPDATED 2024-03-31 17:22:53 UTC
LAST UPDATED 2024-03-31 17:22:53 UTC
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