License holder summary

JIMMY C SIVILS is a Board Of Medicine licensed to practice in Idaho. The address on file for JIMMY C SIVILS is 659 Roadrunner Ln Albuquerque NM 87122. This licensed professional license is not current. The license was granted 10/23/1986 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

JIMMY C SIVILS
Board Of Medicine
License number
M-5139
Date granted
10/23/1986
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
659 Roadrunner Ln Albuquerque NM 87122
idaholicensing.com
ID 48355440
LAST UPDATED 2024-05-04 18:28:40 UTC

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