License holder summary

SANDRA MARIE JACKSON is a Board Of Medicine licensed to practice in Idaho. The address on file for SANDRA MARIE JACKSON is 2799 SUNNYBROOK LANE IDAHO FALLS ID 83404. This licensed professional license is not current. The license was granted 05/01/2013 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

SANDRA MARIE JACKSON
Board Of Medicine
License number
PSG-108
Date granted
05/01/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
2799 SUNNYBROOK LANE IDAHO FALLS ID 83404
idaholicensing.com
ID 48329386
LAST UPDATED 2024-02-24 08:00:06 UTC

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