License holder summary

TERI LYNN JACOBSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for TERI LYNN JACOBSEN is 720 Teton Ave Caldwell ID 83605. This licensed professional license is not current. The license was granted 01/10/1992 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

TERI LYNN JACOBSEN
Board Of Medicine
License number
LRT-240
Date granted
01/10/1992
Date expires
06/30/2005
Class
Board Of Medicine
Status
Revoked
Address
720 Teton Ave Caldwell ID 83605
idaholicensing.com
ID 48329418
LAST UPDATED 2024-04-24 18:28:03 UTC

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