Idaho
Division of Occupational and Professional Licenses
MITCHELL JACKSON MOFFITT
Board Of Medicine
License number
M-10017
Date granted
07/26/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
775 Pole Line Rd W Suite #111 TWIN FALLS ID 83301
idaholicensing.com
ID 48349856
LAST UPDATED 2024-03-20 01:46:03 UTC
LAST UPDATED 2024-03-20 01:46:03 UTC
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