TIMOTHY R BLACK
Idaho Board Of Podiatry - Podiatrist
Idaho P - 169 Current
This Idaho license is held by TIMOTHY R BLACK. The license is currently active. It was granted on 07/29/2002 and expired on 11/15/2016
LICENSE DETAILS
- License Number: P - 169
- Category: PODIATRIST
- Status: Current
- Date Granted: 07/29/2002 (over 22 years ago)
- Expiry Date: 11/15/2016 (over 8 years ago)
LOCATIONS
A Address
IDAHO FALLS ID 83404
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