MICHAEL R. JACKSON
Idaho M-4729 Canceled
This Idaho license was held by MICHAEL R. JACKSON. The license is no longer active. It was granted on 02/21/1984 and expired on 07/01/1981
LICENSE DETAILS
- License Number: M-4729
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/21/1984 (about 41 years ago)
- Expiry Date: 07/01/1981 (almost 44 years ago)
LOCATIONS
A Residential
2347 Southeast Boulevard #3 Spokane WA 99203