License holder summary

RICHARD T. JACKSON is a Board Of Medicine licensed to practice in Idaho. The address on file for RICHARD T. JACKSON is 2317 Garfield Avenue Salt Lake City UT 84108. This licensed professional license is not current. The license was granted 01/16/1977 and expired on 07/01/1975.

Idaho

Division of Occupational and Professional Licenses

RICHARD T. JACKSON
Board Of Medicine
License number
M-3567
Date granted
01/16/1977
Date expires
07/01/1975
Class
Board Of Medicine
Status
Canceled
Address
2317 Garfield Avenue Salt Lake City UT 84108
idaholicensing.com
ID 48329382
LAST UPDATED 2024-04-20 10:45:50 UTC

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