License holder summary

JERRY N MIXON is a Board Of Medicine licensed to practice in Idaho. The address on file for JERRY N MIXON is 1427 MAY ST SHELTON WA 98584. This licensed professional license is not current. The license was granted 07/20/1979.

Idaho

Division of Occupational and Professional Licenses

JERRY N MIXON
Board Of Medicine
License number
M-3981
Date granted
07/20/1979
Class
Board Of Medicine
Status
Canceled
Address
1427 MAY ST SHELTON WA 98584
idaholicensing.com
ID 48355477
LAST UPDATED 2026-05-04 12:33:26 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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