Idaho
Division of Occupational and Professional Licenses
JAN S. LARSON CHAPMAN
Board Of Medicine
License number
LRT-965
Date granted
10/21/2002
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
4347 East 300 North Rigby ID 83442
idaholicensing.com
ID 48337038
LAST UPDATED 2024-04-16 05:17:59 UTC
LAST UPDATED 2024-04-16 05:17:59 UTC
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