License holder summary

Dr. BRIAN DAVID TALLERICO is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BRIAN DAVID TALLERICO is PO BOX 579 AFTON WY 83110. This licensed professional license is current. The license was granted 10/26/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. BRIAN DAVID TALLERICO
Board Of Medicine
License number
O-0552
Date granted
10/26/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 579 AFTON WY 83110
idaholicensing.com
ID 48371492
LAST UPDATED 2024-03-14 05:14:22 UTC

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