Idaho
Division of Occupational and Professional Licenses
KATHLEEN DIANE JACOBI
Board Of Medicine
License number
LRT-1377
Date granted
06/10/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
12451 W BRADDOCK DR BOISE ID 83709
idaholicensing.com
ID 48329393
LAST UPDATED 2024-03-09 05:27:47 UTC
LAST UPDATED 2024-03-09 05:27:47 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.