JARED MICHAEL PRICE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118523

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

MICHAEL

Last Name

PRICE

Business Name

JARED MICHAEL PRICE DO

Original Issue Date

05/29/2007

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

CHUBBUCK

State

Zip

83202

County

IDAHO

Ever Disciplined

LastModifiedDate

11/01/2017