License holder summary

JORDAN LYSLE BAILEY is a Board Of Medicine licensed to practice in Idaho. The address on file for JORDAN LYSLE BAILEY is 151 N 4th Ave. Suite B POCATELLO ID 83201. This licensed professional license is current. The license was granted 03/31/2005 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JORDAN LYSLE BAILEY
Board Of Medicine
License number
M-9245
Date granted
03/31/2005
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
151 N 4th Ave. Suite B POCATELLO ID 83201
idaholicensing.com
ID 48334804
LAST UPDATED 2024-02-13 08:54:39 UTC

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