Idaho
Division of Occupational and Professional Licenses
JESSICA CHAN
Board Of Medicine
License number
PAT-1404
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
270 E JAMES COURT DR #203 MERIDIAN ID 83646
idaholicensing.com
ID 48343079
LAST UPDATED 2024-04-02 14:16:59 UTC
LAST UPDATED 2024-04-02 14:16:59 UTC
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