License holder summary

JASON FREDRICK HOLKUP is a Board Of Medicine licensed to practice in Idaho. The address on file for JASON FREDRICK HOLKUP is 2407APOEPOE ST PEARL CITY HI 96782. This licensed professional license is not current. The license was granted 09/16/1999 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

JASON FREDRICK HOLKUP
Board Of Medicine
License number
AT-166
Date granted
09/16/1999
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
2407APOEPOE ST PEARL CITY HI 96782
idaholicensing.com
ID 48353102
LAST UPDATED 2024-05-06 13:05:42 UTC

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