Idaho
Division of Occupational and Professional Licenses
MR. JACOB LEE RUNYAN
Board Of Medicine
License number
PAT-932
Date granted
09/13/2011
Date expires
08/09/2013
Class
Board Of Medicine
Status
Expired
Address
352 S 8TH AVE POCATELLO ID 83201
idaholicensing.com
ID 48360904
LAST UPDATED 2024-03-17 08:45:37 UTC
LAST UPDATED 2024-03-17 08:45:37 UTC
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