Idaho
Division of Occupational and Professional Licenses
JACOB DARRELL JENSEN
Board Of Medicine
License number
MSO-0028
Date granted
07/01/2012
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
2203 GLADYS DR IDAHO FALLS ID 83401
idaholicensing.com
ID 48355588
LAST UPDATED 2024-05-08 17:42:05 UTC
LAST UPDATED 2024-05-08 17:42:05 UTC
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