License holder summary

JORDAN ROBERT HARRIS is a Board Of Medicine licensed to practice in Idaho. The address on file for JORDAN ROBERT HARRIS is 1335 CASSANDRA WAY BLACKFOOT ID 83221. This licensed professional license is not current. The license was granted 07/01/2012 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

JORDAN ROBERT HARRIS
Board Of Medicine
License number
MSO-0031
Date granted
07/01/2012
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
1335 CASSANDRA WAY BLACKFOOT ID 83221
idaholicensing.com
ID 48362914
LAST UPDATED 2024-02-11 07:42:12 UTC

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