Idaho
Division of Occupational and Professional Licenses
JIMMY DALE HAWKINS
Board Of Medicine
License number
LRT-1054
Date granted
05/13/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1539 Falls Ave E Twin Falls ID 83301
idaholicensing.com
ID 48339349
LAST UPDATED 2024-01-21 13:07:52 UTC
LAST UPDATED 2024-01-21 13:07:52 UTC
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