License holder summary

JACKIE SMAHA is a Board Of Medicine licensed to practice in Idaho. The address on file for JACKIE SMAHA is 828 Truman, PO Box 8645 Moscow ID 83843. This licensed professional license is not current. The license was granted 08/30/1989.

Idaho

Division of Occupational and Professional Licenses

JACKIE SMAHA
Board Of Medicine
License number
AT-036
Date granted
08/30/1989
Class
Board Of Medicine
Status
Canceled
Address
828 Truman, PO Box 8645 Moscow ID 83843
idaholicensing.com
ID 48334756
LAST UPDATED 2024-03-15 21:30:16 UTC

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