Idaho
Division of Occupational and Professional Licenses
JAY HOWARD HANSEN
Board Of Medicine
License number
M-10335
Date granted
06/20/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
St Lukes Family Medicine Nampa ID 83686
idaholicensing.com
ID 48360683
LAST UPDATED 2024-04-05 12:18:32 UTC
LAST UPDATED 2024-04-05 12:18:32 UTC
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