License holder summary

KIM L JORDAN is a Board Of Medicine licensed to practice in Idaho. The address on file for KIM L JORDAN is 1979 E TABLE ROCK RD BOISE ID 83712. This licensed professional license is current. The license was granted 03/12/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIM L JORDAN
Board Of Medicine
License number
D-858
Date granted
03/12/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1979 E TABLE ROCK RD BOISE ID 83712
idaholicensing.com
ID 48355860
LAST UPDATED 2024-02-26 03:41:19 UTC

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