Idaho
Division of Occupational and Professional Licenses
MELANIE ANGEL JACKSON
Board Of Medicine
License number
MRM-1489
Date granted
05/11/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
7120 SE INSLEY ST PORTLAND OR 97206
idaholicensing.com
ID 48329375
LAST UPDATED 2024-02-05 15:04:25 UTC
LAST UPDATED 2024-02-05 15:04:25 UTC
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