Idaho
Division of Occupational and Professional Licenses
JORDAN LEIF STORHAUG
Board Of Medicine
License number
MRM-1513
Date granted
06/15/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
950 W URINWIID DR COEUR D ALENE ID 83814
idaholicensing.com
ID 48338887
LAST UPDATED 2024-02-18 16:02:56 UTC
LAST UPDATED 2024-02-18 16:02:56 UTC
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