Idaho
Division of Occupational and Professional Licenses
JEFFREY MICHAEL HARTOG
Board Of Medicine
License number
M-6928
Date granted
02/02/1996
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
4355 Bear Gully Rd Winter Park FL 32792
idaholicensing.com
ID 48361208
LAST UPDATED 2026-04-24 02:51:37 UTC
LAST UPDATED 2026-04-24 02:51:37 UTC
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