TIMOTHY J SULLIVAN
Idaho TLM-515 Upgraded
This Idaho license was held by TIMOTHY J SULLIVAN. The license is no longer active. It was granted on 01/21/1972
LICENSE DETAILS
- License Number: TLM-515
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 01/21/1972 (over 52 years ago)
LOCATIONS
A Residential
338 E BANNOCK STREET BOISE ID 83712