Idaho
Division of Occupational and Professional Licenses
TIMOTHY BOCK ICENOGLE
Board Of Medicine
License number
M-10760
Date granted
07/16/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
122 W 7TH AVE, STE 110 SPOKANE WA 99204
idaholicensing.com
ID 48342766
LAST UPDATED 2024-05-08 18:20:34 UTC
LAST UPDATED 2024-05-08 18:20:34 UTC
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