Idaho
Division of Occupational and Professional Licenses
JESSEA CAMILLE KACK
Board Of Medicine
License number
PA-1254
Date granted
06/01/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
706 N. College Rd. Ste C Twin Falls ID 83301
idaholicensing.com
ID 48329438
LAST UPDATED 2024-02-02 10:05:38 UTC
LAST UPDATED 2024-02-02 10:05:38 UTC
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