License holder summary

JONATHAN DANIEL MONTICELLI is a Board Of Medicine licensed to practice in Idaho. The address on file for JONATHAN DANIEL MONTICELLI is PO Box 156 Crozier VA 23039. This licensed professional license is not current. The license was granted 03/31/2004 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

JONATHAN DANIEL MONTICELLI
Board Of Medicine
License number
M-9015
Date granted
03/31/2004
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO Box 156 Crozier VA 23039
idaholicensing.com
ID 48342812
LAST UPDATED 2026-04-19 13:29:22 UTC

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