BRIAN JONATHAN HICKOK

Idaho  M-9558   Renewed

This Idaho license is held by BRIAN JONATHAN HICKOK. The license is currently active. It was granted on 04/21/2006 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: M-9558
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 04/21/2006 (about 18 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

980 W Ironwood Dr. Ste 302 COEUR D ALENE ID 83814