License holder summary

JASON SCOTT VISINTAINER is a Board Of Medicine licensed to practice in Idaho. The address on file for JASON SCOTT VISINTAINER is 2222 S BOLIVAR RD VERADALE WA 99037. This licensed professional license is not current. The license was granted 11/07/2005 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

JASON SCOTT VISINTAINER
Board Of Medicine
License number
AT-273
Date granted
11/07/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
2222 S BOLIVAR RD VERADALE WA 99037
idaholicensing.com
ID 48335110
LAST UPDATED 2024-03-24 08:51:09 UTC

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