License holder summary

JACOB ELIAS REYES is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB ELIAS REYES is 3917 KINGSTON CALDWELL ID 83605. This licensed professional license is not current. The license was granted 06/06/2013 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

JACOB ELIAS REYES
Board Of Medicine
License number
PGT-102
Date granted
06/06/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
3917 KINGSTON CALDWELL ID 83605
idaholicensing.com
ID 48390373
LAST UPDATED 2024-02-21 17:03:57 UTC

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