License holder summary

JACOB G SWAN is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB G SWAN is 424 E TERRY 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

JACOB G SWAN
Board Of Medicine
License number
PAT-1359
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
424 E TERRY POCATELLO ID 83201
idaholicensing.com
ID 48371321
LAST UPDATED 2024-03-26 07:37:23 UTC

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