License holder summary

TIANA JACOBSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for TIANA JACOBSEN is 1910 UNIVERSITY DRIVE BOISE ID 83725. This licensed professional license is not current. The license was granted 09/08/2010 and expired on 09/15/2012.

Idaho

Division of Occupational and Professional Licenses

TIANA JACOBSEN
Board Of Medicine
License number
RTS-342
Date granted
09/08/2010
Date expires
09/15/2012
Class
Board Of Medicine
Status
Expired
Address
1910 UNIVERSITY DRIVE BOISE ID 83725
idaholicensing.com
ID 48329419
LAST UPDATED 2024-02-13 12:52:25 UTC

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