TERI LYNN JACOBSEN
Idaho LRT-240 Revoked
This Idaho license was held by TERI LYNN JACOBSEN. The license is no longer active. It was granted on 01/10/1992 and expired on 06/30/2005
LICENSE DETAILS
- License Number: LRT-240
- Category: Board Of Medicine
- Status: Revoked
- Date Granted: 01/10/1992 (over 32 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Residential
720 Teton Ave Caldwell ID 83605