License holder summary

JACOB LEVI MAUGHAN is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB LEVI MAUGHAN is 5743 E 65th S AMMON ID 83406. This licensed professional license is current. The license was granted 06/24/2008 and expired on 06/30/2017.

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 2024-05-08 06:33:00 UTC

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