Idaho
Division of Occupational and Professional Licenses
JOSH D. JACOBSEN
Board Of Medicine
License number
LRT-698
Date granted
03/23/1998
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
11216 N CROOKED TREE LN IDAHO FALLS ID 83401
idaholicensing.com
ID 48329417
LAST UPDATED 2024-04-05 07:01:21 UTC
LAST UPDATED 2024-04-05 07:01:21 UTC
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