Idaho
Division of Occupational and Professional Licenses
JACLYN GOLUS
Board Of Medicine
License number
PAT-500
Date granted
09/14/2006
Date expires
08/03/2008
Class
Board Of Medicine
Status
Expired
Address
2100 S 2ND AVE APT 3F POCATELLO ID 83201
idaholicensing.com
ID 48351453
LAST UPDATED 2024-02-20 17:29:39 UTC
LAST UPDATED 2024-02-20 17:29:39 UTC
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