License holder summary

JEFFREY CHURCH PITTS is a Board Of Medicine licensed to practice in Idaho. The address on file for JEFFREY CHURCH PITTS is 269 SW 19TH ST ONTARIO OR 97914. This licensed professional license is current. The license was granted 06/20/1987 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JEFFREY CHURCH PITTS
Board Of Medicine
License number
M-5229
Date granted
06/20/1987
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
269 SW 19TH ST ONTARIO OR 97914
idaholicensing.com
ID 48355303
LAST UPDATED 2024-02-04 20:06:24 UTC

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