PAUL WAYNE JANSEN
Idaho M-8574 Renewed
This Idaho license is held by PAUL WAYNE JANSEN. The license is currently active. It was granted on 08/08/2002 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-8574
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 08/08/2002 (about 24 years ago)
- Expiry Date: 06/30/2017 (about 9 years ago)
LOCATIONS
A Residential
PO Box 459 New Meadows ID 83654
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