License holder summary

JACOB B BAK is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB B BAK is 21255 E HIGHWAY 20 APT 27 BEND OR 97701. This licensed professional license is not current. The license was granted 02/05/2010 and expired on 05/01/2011.

Idaho

Division of Occupational and Professional Licenses

JACOB B BAK
Board Of Medicine
License number
RTS-268
Date granted
02/05/2010
Date expires
05/01/2011
Class
Board Of Medicine
Status
Expired
Address
21255 E HIGHWAY 20 APT 27 BEND OR 97701
idaholicensing.com
ID 48335168
LAST UPDATED 2024-04-06 19:58:37 UTC

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