Idaho
Division of Occupational and Professional Licenses
JACOB LEVI MAUGHAN
Board Of Medicine
License number
LRT-1321
Date granted
06/24/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5743 E 65th S AMMON ID 83406
idaholicensing.com
ID 48338723
LAST UPDATED 2024-02-16 17:33:08 UTC
LAST UPDATED 2024-02-16 17:33:08 UTC
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