License holder summary

AMY KATHLEEN BROCK is a Board Of Medicine licensed to practice in Idaho. The address on file for AMY KATHLEEN BROCK is 27 S Blue St Walla Walla WA 99362. This licensed professional license is not current. The license was granted 06/07/1999 and expired on 06/30/2000.

Idaho

Division of Occupational and Professional Licenses

AMY KATHLEEN BROCK
Board Of Medicine
License number
LRT-774
Date granted
06/07/1999
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
27 S Blue St Walla Walla WA 99362
idaholicensing.com
ID 48341625
LAST UPDATED 2026-05-26 04:52:38 UTC

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