Idaho
Division of Occupational and Professional Licenses
JORDAN ROSS LEACH
Board Of Medicine
License number
M-7119
Date granted
09/27/1996
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
3814 S Grand Blvd Spokane WA 99203
idaholicensing.com
ID 48329499
LAST UPDATED 2024-03-16 19:20:04 UTC
LAST UPDATED 2024-03-16 19:20:04 UTC
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