Idaho
Division of Occupational and Professional Licenses
JAIME MACIAS
Board Of Medicine
License number
PR-004
Date granted
07/12/1994
Class
Board Of Medicine
Status
Canceled
Address
5600 N. Glenwood Garden City ID 83714
idaholicensing.com
ID 48329539
LAST UPDATED 2026-05-12 15:27:44 UTC
LAST UPDATED 2026-05-12 15:27:44 UTC
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