License holder summary

JAYSON MASAYUKI WATABE is a Board Of Medicine licensed to practice in Idaho. The address on file for JAYSON MASAYUKI WATABE is 651 N 13TH AVE APT B POCATELLO ID 83201. This licensed professional license is not current. The license was granted 08/27/2012 and expired on 08/08/2014.

Idaho

Division of Occupational and Professional Licenses

JAYSON MASAYUKI WATABE
Board Of Medicine
License number
PAT-1029
Date granted
08/27/2012
Date expires
08/08/2014
Class
Board Of Medicine
Status
Expired
Address
651 N 13TH AVE APT B POCATELLO ID 83201
idaholicensing.com
ID 48329179
LAST UPDATED 2024-04-08 11:33:00 UTC

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