Idaho
Division of Occupational and Professional Licenses
RICHARD ALLEN JACOBS
Board Of Medicine
License number
M-3665
Date granted
07/18/1977
Class
Board Of Medicine
Status
Canceled
Address
619 S Washington MOSCOW ID 83843
idaholicensing.com
ID 48329406
LAST UPDATED 2026-03-14 01:19:51 UTC
LAST UPDATED 2026-03-14 01:19:51 UTC
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