License holder summary

JACLYN JOHNSON JOLLEY is a Board Of Medicine licensed to practice in Idaho. The address on file for JACLYN JOHNSON JOLLEY is 668 FRANKLIN AVE APT B POCATELLO ID 83201. This licensed professional license is current. The license was granted 10/01/2015 and expired on 08/04/2017.

Idaho

Division of Occupational and Professional Licenses

JACLYN JOHNSON JOLLEY
Board Of Medicine
License number
PAT-1322
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
668 FRANKLIN AVE APT B POCATELLO ID 83201
idaholicensing.com
ID 48349431
LAST UPDATED 2024-04-13 18:29:30 UTC

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