Idaho
Division of Occupational and Professional Licenses
JERRY HARVEY TITEL
Board Of Medicine
License number
M-5453
Date granted
10/24/1988
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
4392 BLUEHOUSE LN ALPHARETTA GA 30022
idaholicensing.com
ID 48371741
LAST UPDATED 2024-03-18 22:12:55 UTC
LAST UPDATED 2024-03-18 22:12:55 UTC
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