JORDAN SURGEON
Idaho RTS-684 Expired
This Idaho license was held by JORDAN SURGEON. The license is no longer active. It was granted on 09/05/2014 and expired on 09/15/2016
LICENSE DETAILS
- License Number: RTS-684
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/05/2014 (over 10 years ago)
- Expiry Date: 09/15/2016 (over 8 years ago)
LOCATIONS
A Residential
BSU DEPT OF RESP CARE BOISE ID 83725