Idaho
Division of Occupational and Professional Licenses
JORDAN ELIZABETH PRAYTOR
Board Of Medicine
License number
PAT-1054
Date granted
02/08/2013
Date expires
08/31/2013
Class
Board Of Medicine
Status
Expired
Address
522 NE SKIDMORE ST PORTLAND OR 97211
idaholicensing.com
ID 48340077
LAST UPDATED 2024-03-13 07:55:51 UTC
LAST UPDATED 2024-03-13 07:55:51 UTC
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