JASON NOEL LANCE MD - Medical Doctor License in Idaho | # 036124742

JASON NOEL LANCE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124742

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

NOEL

Last Name

LANCE

Suffix

MD

Business Name

JASON NOEL LANCE MD

Original Issue Date

12/16/2009

Effective Date

07/13/2011

Expiration Date

07/31/2014

State

ID

Ever Disciplined

N

LastModifiedDate

11/17/2014