STEPHEN MICHAEL JACOBS
Idaho M-8057 Canceled
This Idaho license was held by STEPHEN MICHAEL JACOBS. The license is no longer active. It was granted on 08/22/2000 and expired on 06/30/2001
LICENSE DETAILS
- License Number: M-8057
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/22/2000 (over 23 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Residential
777 N Raymond Boise ID 83704