Idaho
Division of Occupational and Professional Licenses
JAMIE LEE VAN PATTEN
Board Of Medicine
License number
AT-443
Date granted
09/12/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
1661 EAST 4300 NORTH BUHL ID 83316
idaholicensing.com
ID 48381835
LAST UPDATED 2024-04-18 07:06:19 UTC
LAST UPDATED 2024-04-18 07:06:19 UTC
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