Idaho
Division of Occupational and Professional Licenses
JACQUELINE KAREN JORDAN
Board Of Medicine
License number
LRT-1941
Date granted
04/26/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
18102 N DAY MT SPOKANE RD MEAD WA 99021
idaholicensing.com
ID 48355855
LAST UPDATED 2024-03-21 06:44:06 UTC
LAST UPDATED 2024-03-21 06:44:06 UTC
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