Idaho
Division of Occupational and Professional Licenses
MR. JEFFREY SCOTT MEDINA
Board Of Medicine
License number
LRT-1481
Date granted
09/15/2010
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
1426 E 5TH ST APT 101 MERIDIAN ID 83642
idaholicensing.com
ID 48345263
LAST UPDATED 2024-03-02 23:54:46 UTC
LAST UPDATED 2024-03-02 23:54:46 UTC
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