Idaho
Division of Occupational and Professional Licenses
TODD JEFFERY SMAKA
Board Of Medicine
License number
M-9165
Date granted
11/09/2004
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1812 S 1000 E Salt Lake City UT 84105
idaholicensing.com
ID 48335400
LAST UPDATED 2026-05-04 20:39:55 UTC
LAST UPDATED 2026-05-04 20:39:55 UTC
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