SHANNON AUTRY JACKSON
Idaho D-207 Renewed
This Idaho license is held by SHANNON AUTRY JACKSON. The license is currently active. It was granted on 02/08/1995 and expired on 06/30/2017
LICENSE DETAILS
- License Number: D-207
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 02/08/1995 (about 29 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
PO Box 3404 KETCHUM ID 83340
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