Idaho
Division of Occupational and Professional Licenses
JAYME THEODORE MACKAY
Board Of Medicine
License number
M-7479
Date granted
05/26/1998
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1119 Highland Ave., Suite A CLARKSTON WA 99403
idaholicensing.com
ID 48329554
LAST UPDATED 2024-04-07 05:48:04 UTC
LAST UPDATED 2024-04-07 05:48:04 UTC
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