License holder summary

JEREMY D KASSEBAUM is a Board Of Medicine licensed to practice in Idaho. The address on file for JEREMY D KASSEBAUM is PO BOX 4730 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 07/12/2005 and expired on 01/01/2006.

Idaho

Division of Occupational and Professional Licenses

JEREMY D KASSEBAUM
Board Of Medicine
License number
MRM-0851
Date granted
07/12/2005
Date expires
01/01/2006
Class
Board Of Medicine
Status
Expired
Address
PO BOX 4730 POCATELLO ID 83205
idaholicensing.com
ID 48337908
LAST UPDATED 2024-03-30 23:57:36 UTC

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