Idaho
Division of Occupational and Professional Licenses
JACQUELYN ANN HOLT
Board Of Medicine
License number
MSM-0301
Date granted
06/19/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
217 NE 42ND ST SEATTLE WA 98105
idaholicensing.com
ID 48353162
LAST UPDATED 2026-05-20 18:21:54 UTC
LAST UPDATED 2026-05-20 18:21:54 UTC
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