Idaho
Division of Occupational and Professional Licenses
MICHAEL R. JACKSON
Board Of Medicine
License number
M-4729
Date granted
02/21/1984
Date expires
07/01/1981
Class
Board Of Medicine
Status
Canceled
Address
2347 Southeast Boulevard #3 Spokane WA 99203
idaholicensing.com
ID 48329376
LAST UPDATED 2024-04-01 09:30:24 UTC
LAST UPDATED 2024-04-01 09:30:24 UTC
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