License holder summary

STEPHEN MICHAEL JACOBS is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHEN MICHAEL JACOBS is 777 N Raymond Boise ID 83704. This licensed professional license is not current. The license was granted 08/22/2000 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

STEPHEN MICHAEL JACOBS
Board Of Medicine
License number
M-8057
Date granted
08/22/2000
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
777 N Raymond Boise ID 83704
idaholicensing.com
ID 48329407
LAST UPDATED 2024-03-17 17:34:05 UTC

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