License holder summary

JACOB BERRIOCHOA is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB BERRIOCHOA is 1812 EUCLID AVE BOISE ID 83706. This licensed professional license is not current. The license was granted 07/01/2011 and expired on 06/30/2013.

Idaho

Division of Occupational and Professional Licenses

JACOB BERRIOCHOA
Board Of Medicine
License number
MSM-0017
Date granted
07/01/2011
Date expires
06/30/2013
Class
Board Of Medicine
Status
Expired
Address
1812 EUCLID AVE BOISE ID 83706
idaholicensing.com
ID 48340665
LAST UPDATED 2024-03-21 04:01:17 UTC

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